DSAW Respite Day Camp

Are you looking for a Day Camp this summer where your child can have fun and continue to build valuable skills? DSAW’s Respite Day Camp is a program that provides multiple types of curriculum and activities. We will practice social skills and hands on life skills. Lessons will be taught through the use of modeling, role-playing, visuals, and hands on activities. We will also be selecting recipes and cooking in the kitchen. There will be a fun physical activity each afternoon. This could include zumba, yoga, kick ball and more! In addition, we will be taking field trips throughout the summer and integrating into the community! If you are in search of a place for your child to have fun, spend time with friends and learn... DSAW Respite Day Camp is the place to go! 

CAMP REQUIREMENTS: Each week of camp we will host up to 18 individuals who meet the following requirements:

  • Middle school and high school students (ages 12-17) with Down syndrome; teens turning 18 prior to June 17th are ineligible to attend. Teens turning 12 prior to June 17th are able to attend.

  • Makes safe choices while working with peers

  • Attends lessons without causing disruption

  • One-on-one support is not required*

*We will have at least 1 staff member for every 5 participants (in addition to Counselors in Training). If your loved one needs more support, please contact Chris Gagne at chrisg@dsawfamilyservices.org.

WHEN: June 17-August 2

Families can choose to send their kids to camp for full days or half days. If you sign up for half day, our AM session runs 9am-12:30pm and our PM session runs 12:30pm-4pm.

Week 1: June 17-21
Week 2: June 24-28
NO CAMP THE WEEK OF JULY 1-5
Week 3: July 8-12
Week 4: July 15-19
Week 5: July 22-26
Week 6: July 29-August 2

Drop off time: 9:00am
Pick up time: 4:00pm 

You can sign up for the whole summer or pick and choose the weeks that work for you!

WHERE: DSAW, 11709 W Cleveland Ave, Suite 2, West Allis, WI 53227.

COST: Camp will cost $250 per week for full day camp. Half day camp is $150 per week. Additional fees for field trips are not included in the camp price. DSAW accepts funding from CLTS and CCOP. We also accept private pay (cash, check, credit). We will offer need-based scholarships upon request. To discuss funding options, contact Chris (chrisg@dsawfamilyservices.org). 

OTHER NOTES:

  • Plan to send along a bag lunch with your camper throughout the summer. Occasionally we will take food-based field trips or practice cooking skills. We will notify you in advance of these special days.

  • Teacher to student ratio will be no more than 1:5, although most often it will be 1:3.

  • Campers will receive t-shirts included in the cost of tuition.

  • REGISTRATION IS NOW CLOSED

  • We will publish a tentative schedule with daily themes and activities closer to the summer.

Day Camp will be led by DSAW-Family Services staff and volunteers who have been interviewed and background checked.

Questions about camp? Contact Chris: chrisg@dsawfamilyservices.org.


DSAW Respite Day Camp Application

Please note that submission of this application does NOT guarantee your acceptance into camp. We will contact you to confirm acceptance. Applications are due NO LATER than Wednesday, May 15. Please fill out an application for each child with Down syndrome that would like to attend camp. Thank you!

Parent/Guardian Name *
Parent/Guardian Name
Phone *
Phone
Address *
Address
I want to enroll my camper in: *
Please select the week(s) that you would like to sign up for camp. Note: there will be NO camp the week of July 4th.
I want to enroll my camper in: *
Please select a full day or half day option.
Camper Information
Camper Name *
Camper Name
Camper Date of Birth *
Camper Date of Birth
Camper T-Shirt Size *
Emergency Information
Emergency Contact #1 Name *
Emergency Contact #1 Name
Emergency Contact #1 Phone *
Emergency Contact #1 Phone
Emergency Contact #2 Name *
Emergency Contact #2 Name
Emergency Contact #2 Phone *
Emergency Contact #2 Phone
Medical Information
Each camper MUST have health insurance to participate. Camp carries liability insurance only. Your camper's health insurance will need to be used in the event of injury or illness during camp. The following questions pertain to your teen's health insurance.
Policy Holder's Name *
Policy Holder's Name
Teen's Primary Care Physician's Name *
Teen's Primary Care Physician's Name
Teen's Primary Care Physician's Phone Number *
Teen's Primary Care Physician's Phone Number
(applying sunscreen/bug spray, menstruation, washing hands, toileting, etc.)
I hereby give permission to DSAW-FS staff to administer any of the following Over-the-Counter (OTC) medications to my child for the circumstances listed. Motrin, Aleve or Tylenol for headache, fever or general discomfort. Ibuprofen or Advil for menstrual discomfort. Neosporin for cuts and scrapes. Benadryl topical ointment for bug bites or stings. I understand that I will be contacted before these medicines are given, but in the event I cannot be reached, my child may be administered such medicines so they can continue on with their day at camp.
I understand that should my teen become ill during camp, every attempt will be made to keep my teen at camp. DSAW-FS staff will follow the recommendations of the State Medical Society of Wisconsin Auxiliary when making the decision to send a participant home due to illness. (detailed guidelines will be sent in your confirmation packet) I also understand that should my teen have behavior concerns that could injure themselves, other campers, camp staff, or camp property, this will be grounds for my teen leaving camp. I understand that I will be responsible for arranging pick up for my teen (individual MUST be listed on this form) within 2 hours of being contacted by DSAW-FS staff. I may or may not receive a refund for my campers unused time at camp. This will be decided at the conclusion of camp. *
Supplemental Questions
DSAW Waiver & Photography Release *
I, the participant, understand that during my participation in the Summer 2019 Down Syndrome Association of Wisconsin Inc Respite Day Camp (hereby referred to as the "event") organized by the Down Syndrome Association of Wisconsin Inc, the Down Syndrome Association of Wisconsin Family Services, and their officers, Board members, directors, employees, volunteers and agents (collectively, “Released Parties”) I may be exposed to a variety of hazards and risks, foreseen or unforeseen, which are inherent in eating, walking, playing, and related activities and cannot be eliminated without destroying the unique character of the event. These inherent risks include, but are not limited to, the dangers of serious personal injury, death and property damage (“Injuries and Damages”) resulting from physical contact with others, equipment and facilities. I fully understand that the Released Parties have not tried to contradict or minimize my understanding of these risks. I know that Injuries and Damages can occur by natural causes or activities of other persons, other participants or volunteers or third parties, either as a result of negligence or because of other reasons. I understand the risks of such Injuries and Damages involved in the event and I appreciate that I may have to exercise extra care for my own person and for others around me in the face of such hazards. I further understand that there may not be medical personnel or medical facilities or expertise necessary to deal with the Injuries and Damages to which I may be exposed. In consideration for my acceptance as a participant in the event, and the services and amenities provided by the Released Parties in connection with the event, I CONFIRM MY UNDERSTANDING OF THE FOLLOWING: RELEASE OF LIABILITY. To the fullest extent allowed by law, I agree to WAIVE AND DISCHARGE CLAIMS AGAINST, RELEASE FROM LIABILITY, INDEMNIFY AND HOLD HARMLESS the Released Parties and their officers, Board members, directors, employees, volunteers and agents (collectively, “Released Parties”) from and against ANY AND ALL LIABILITY on account of, or in any way resulting from, my death or personal injury relating to my participation in the event, even if caused by NEGLIGENCE of the Released Parties. Such negligence could involve (a) negligent operation and supervision of the event, (b) negligent maintenance or operation of the site or facilities in which event is conducted, (c) negligent manufacture of or use of equipment to be used in the event, and (d) the negligent provision of emergency response services. I understand and intend that the assumption of risk and release is binding upon my heirs, executors, administrators and assigns. This Waiver and Release is intended to be as broad and inclusive as is permitted by law. If any provision or any part of any provision of this Waiver and Release is held to be invalid or legally unenforceable for any reason, the remainder of this Waiver and Release shall not be affected thereby and shall remain valid and fully enforceable. I have read this Waiver and Release of Liability in its entirety and I freely and voluntarily choose to participate and assume all risks of Injuries and Damages. I agree to obey any rules and regulations that may relate to the event. I acknowledge my waiver of any right I may have to bargain for different terms of this waiver and recognize that a narrower waiver would increase the costs associated with the event and/or limit or preclude my participation in the event. I certify that he or she is the parent or legal guardian of the minor who is participating in the event, consents to his or her participation in the event and executes this Waiver and Release of Liability on behalf of such minor. Consent to Photograph and Release of Name: I hereby authorize the Down Syndrome Association of Wisconsin, and their officers, Board members, directors, employees, volunteers and agents (collectively, “Released Parties”) to photograph, film, or videotape. I hereby agree the Released Parties, collectively or individually, may use such photographs, films or videotapes, with or without prior notice, in general public relations, communications or for commercial purposes. I understand this Consent to Photograph is a valid written consent for purposes of Wis. Stat. § 995.50 and any other similar local, state or federal law regarding a right to privacy. I hereby authorize the Released Parties to use in writing or otherwise the name or identity of the participant. I release the Released Parties from any liability involved with this Consent to Photograph or Release of my Name.