Summer Camp 2025 RegistrationJuly 30th - August 16th We welcome all to join our Signing Community *Deaf, Hard of Hearing, DeafBlind, Deaf+, CODAS (Children of Deaf Adults/Siblings) & the Interpreters Community* Summer Camp 2025 FEE SCHEDULE Current rate until May 31, 2025 Overnight Campers: $750Day Campers: $500Counselors/Leaders in Training: $350 June 1, 2025 until June 31, 2025 Overnight Campers: $800Day Campers: $550Counselors/Leaders in Training: $400 July 1, 2025 - July 25, 2025 Overnight Campers: $850Day Campers: $600Counselors/Leaders in Training: $450 $150 TO RESERVE Day Camp Overnight Camp Prepare for Camp Packing List Camperships/ Financial assistance TEEN CAMPAugust 3rd - 9th, 2025AGES — 12-18 New Camper Registration New Camper Registration 2 Child's Name * First Name Last Name Describe your child's sign name. Address Address 1 Address 2 City State/Province Zip/Postal Code Country Birth Date * MM DD YYYY Age at start of session * 8 9 10 11 12 13 14 15 16 17 18 Camp Session * Counselor In Training (Ages 16-19)(Date 7/30 - 8/16) Session #1 (Ages 12-15) (Date 8/3 - 8/9) Session #2 (Ages 8-12) (Date 8/10 - 8/16) Gender * Male Female Non-Binary Other Preferred Pronouns * He/him She/her Other Preferred Cabin Assignment * Boys Girls Gender Inclusive Other Identity * Deaf Hard of Hearing DeafBlind SODA (hearing sibling) CODA (hearing with Deaf parent(s) Emerging Signer (hearing) Other Will your child have a sibling(s) or relative(s) attending this summer camp program? * Yes No Does your child qualify for the federal free lunch program, or receive SNAP or TANF benefits? * Free Lunch Program SNAP TANF None Other Does your child have any food allergies? * Yes No Check all that apply: Vegetarian Vegan (no animal products) Dairy Free Gluten Free Other T-Shirt (Youth Size) * X-Small Small Medium Large X-Large XX-Large Adult Large Adult X-Large How did you learn about Camp Taloali? * Parent/Guardian Information: Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Videophone / Phone Number * (###) ### #### Text Number * (###) ### #### Email * Person Designated to Take Camper TO & FROM Camp If different from Parent/Guardian Name First Name Last Name Emergency Contact (Please indicate adults whom we should contact in an emergency if we cannot reach you) Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Text Number * (###) ### #### Email * Payment Method Choose a Payment method Cash Check Credit/Debit PayPal Do you want to sign up for a Monthly Payment Plan? Yes No Do you want information on camperships and community sponsorships? Yes No If yes, we will contact you shortly with instructions for the monthly payment plan. General Information: Has the applicant ever attended camp before? * Yes No Please describe the applicant's swimming ability. * Describe the applicant's school/educational program (Deaf school Mainstream school with classroom for Deaf/HOH/DB children, Mainstream school and fully integrated? Other - please describe) * Is a 1:4 camper/staff ratio ok or will your child require more supervision? Does your child have a Behavior Support Plan and/or a one-to-one aide at school? Describe any additional assistance required. * What are some of the applicant's interests and hobbies? * Communication Information Does the applicant uses hearing aid(s), cochlear implants, or a BAHA device? * Yes No If yes, what restrictions does your child have in camp activities? Special instruction for the use of hearing aid(s), cochlear implants or BAHA devices. Does your child communicate in sign language? Note: Sign Language is the main mode of communication at camp. * Yes No Indicate the applicant's communication mode(s): Check all that apply. ASL Communication Board/App Cued Speech ProTactile ASL Speech/Speech Reading Other Please indicate any area of concern with communication so the camp can accommodate the applicant/camper's needs. * School Authorization I give my permission for my child's school to share information on character/behavior reference with Camp Taloali. * Yes No Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Grade Level Entering this coming fall. * Name of School and Contact name. * School Phone Number * (###) ### #### Authorization for Emergency Medical I hearby give my permission to Camp Taloali to call a doctor or emergency medical service and for the doctor, hospital, or medical service to provide emergency medical or surgical care for my child should an emergency arise. It is understood that Camp Taloali will make a conscientious effort to locate parents, and/or any emergency contact listed on this form any action is taken. I/We will accept the expense of medical or surgical treatment. Child Name * First Name Last Name Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Refusal to treat for religious or other reasons, please request waiver form for specific action to be taken by the camp for emergencies. * Yes No Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Authorization to Participate or Exclude Participation in Camp Taloali's Activities I/We nearby give permission for my child to go on field trips away from Camp Taloali's premises, whether on foot or by authorized vehicle with a driver and a chaperone. I give permission for my child to participate in all Camp Taloali events with following expectation. Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Indemnification Agreement (Waiver) I/We agree to indemnify, hold harmless, and defend Camp Taloali and their respective employees, agents, and representatives from and against any and all liabilities, claims, or demands which may be asserted against any or all of them in connection with our applicant's participation in Camp Taloali. This includes holding Camp Taloali harmless for any injury which may occur to our applicant while traveling to the Camp Taloali's facility, or while returning from the Camp Taloali facility to go home. Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Your child’s registration has been submitted. If you have any questions, please email director@taloali.org. YOUTH CAMPAugust 10th - 16th, 2025AGES — 8-12 New Camper Registration New Camper Registration 2 3 Child's Name * First Name Last Name Describe your child's sign name. Address Address 1 Address 2 City State/Province Zip/Postal Code Country Birth Date * MM DD YYYY Age at start of session * 8 9 10 11 12 13 14 15 16 17 18 Camp Session * Counselor In Training (Ages 16-19)(Date 7/30 - 8/16) Session #1 (Ages 12-15) (Date 8/3 - 8/9) Session #2 (Ages 8-12) (Date 8/10 - 8/16) Gender * Male Female Non-Binary Other Preferred Pronouns * He/him She/her Other Preferred Cabin Assignment * Boys Girls Gender Inclusive Other Identity * Deaf Hard of Hearing DeafBlind SODA (hearing sibling) CODA (hearing with Deaf parent(s) Emerging Signer (hearing) Other Will your child have a sibling(s) or relative(s) attending this summer camp program? * Yes No Does your child qualify for the federal free lunch program, or receive SNAP or TANF benefits? * Free Lunch Program SNAP TANF None Other Does your child have any food allergies? * Yes No Check all that apply: Vegetarian Vegan (no animal products) Dairy Free Gluten Free Other T-Shirt (Youth Size) * X-Small Small Medium Large X-Large XX-Large Adult Large Adult X-Large How did you learn about Camp Taloali? * Parent/Guardian Information: Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Videophone / Phone Number * (###) ### #### Text Number * (###) ### #### Email * Person Designated to Take Camper TO & FROM Camp If different from Parent/Guardian Name First Name Last Name Emergency Contact (Please indicate adults whom we should contact in an emergency if we cannot reach you) Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Text Number * (###) ### #### Email * Payment Method Choose a Payment method Cash Check Credit/Debit PayPal Do you want to sign up for a Monthly Payment Plan? Yes No Do you want information on camperships and community sponsorships? Yes No If yes, we will contact you shortly with instructions for the monthly payment plan. General Information: Has the applicant ever attended camp before? * Yes No Please describe the applicant's swimming ability. * Describe the applicant's school/educational program (Deaf school Mainstream school with classroom for Deaf/HOH/DB children, Mainstream school and fully integrated? Other - please describe) * Is a 1:4 camper/staff ratio ok or will your child require more supervision? Does your child have a Behavior Support Plan and/or a one-to-one aide at school? Describe any additional assistance required. * What are some of the applicant's interests and hobbies? * Communication Information Does the applicant uses hearing aid(s), cochlear implants, or a BAHA device? * Yes No If yes, what restrictions does your child have in camp activities? Special instruction for the use of hearing aid(s), cochlear implants or BAHA devices. Does your child communicate in sign language? Note: Sign Language is the main mode of communication at camp. * Yes No Indicate the applicant's communication mode(s): Check all that apply. ASL Communication Board/App Cued Speech ProTactile ASL Speech/Speech Reading Other Please indicate any area of concern with communication so the camp can accommodate the applicant/camper's needs. * School Authorization I give my permission for my child's school to share information on character/behavior reference with Camp Taloali. * Yes No Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Grade Level Entering this coming fall. * Name of School and Contact name. * School Phone Number * (###) ### #### Authorization for Emergency Medical I hearby give my permission to Camp Taloali to call a doctor or emergency medical service and for the doctor, hospital, or medical service to provide emergency medical or surgical care for my child should an emergency arise. It is understood that Camp Taloali will make a conscientious effort to locate parents, and/or any emergency contact listed on this form any action is taken. I/We will accept the expense of medical or surgical treatment. Child Name * First Name Last Name Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Refusal to treat for religious or other reasons, please request waiver form for specific action to be taken by the camp for emergencies. * Yes No Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Authorization to Participate or Exclude Participation in Camp Taloali's Activities I/We nearby give permission for my child to go on field trips away from Camp Taloali's premises, whether on foot or by authorized vehicle with a driver and a chaperone. I give permission for my child to participate in all Camp Taloali events with following expectation. Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Indemnification Agreement (Waiver) I/We agree to indemnify, hold harmless, and defend Camp Taloali and their respective employees, agents, and representatives from and against any and all liabilities, claims, or demands which may be asserted against any or all of them in connection with our applicant's participation in Camp Taloali. This includes holding Camp Taloali harmless for any injury which may occur to our applicant while traveling to the Camp Taloali's facility, or while returning from the Camp Taloali facility to go home. Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Your child’s registration has been submitted. If you have any questions, please email director@taloali.org. counselor in trainingjuly 30th - august 16th, 2025 (Ages 16-19) New Camper Registration New Camper Registration 2 4 Child's Name * First Name Last Name Describe your child's sign name. Address Address 1 Address 2 City State/Province Zip/Postal Code Country Birth Date * MM DD YYYY Age at start of session * 8 9 10 11 12 13 14 15 16 17 18 Camp Session * Counselor In Training (Ages 16-19)(Date 7/30 - 8/16) Session #1 (Ages 12-15) (Date 8/3 - 8/9) Session #2 (Ages 8-12) (Date 8/10 - 8/16) Gender * Male Female Non-Binary Other Preferred Pronouns * He/him She/her Other Preferred Cabin Assignment * Boys Girls Gender Inclusive Other Identity * Deaf Hard of Hearing DeafBlind SODA (hearing sibling) CODA (hearing with Deaf parent(s) Emerging Signer (hearing) Other Will your child have a sibling(s) or relative(s) attending this summer camp program? * Yes No Does your child qualify for the federal free lunch program, or receive SNAP or TANF benefits? * Free Lunch Program SNAP TANF None Other Does your child have any food allergies? * Yes No Check all that apply: Vegetarian Vegan (no animal products) Dairy Free Gluten Free Other T-Shirt (Youth Size) * X-Small Small Medium Large X-Large XX-Large Adult Large Adult X-Large How did you learn about Camp Taloali? * Parent/Guardian Information: Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Videophone / Phone Number * (###) ### #### Text Number * (###) ### #### Email * Person Designated to Take Camper TO & FROM Camp If different from Parent/Guardian Name First Name Last Name Emergency Contact (Please indicate adults whom we should contact in an emergency if we cannot reach you) Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Text Number * (###) ### #### Email * Payment Method Choose a Payment method Cash Check Credit/Debit PayPal Do you want to sign up for a Monthly Payment Plan? Yes No Do you want information on camperships and community sponsorships? Yes No If yes, we will contact you shortly with instructions for the monthly payment plan. General Information: Has the applicant ever attended camp before? * Yes No Please describe the applicant's swimming ability. * Describe the applicant's school/educational program (Deaf school Mainstream school with classroom for Deaf/HOH/DB children, Mainstream school and fully integrated? Other - please describe) * Is a 1:4 camper/staff ratio ok or will your child require more supervision? Does your child have a Behavior Support Plan and/or a one-to-one aide at school? Describe any additional assistance required. * What are some of the applicant's interests and hobbies? * Communication Information Does the applicant uses hearing aid(s), cochlear implants, or a BAHA device? * Yes No If yes, what restrictions does your child have in camp activities? Special instruction for the use of hearing aid(s), cochlear implants or BAHA devices. Does your child communicate in sign language? Note: Sign Language is the main mode of communication at camp. * Yes No Indicate the applicant's communication mode(s): Check all that apply. ASL Communication Board/App Cued Speech ProTactile ASL Speech/Speech Reading Other Please indicate any area of concern with communication so the camp can accommodate the applicant/camper's needs. * School Authorization I give my permission for my child's school to share information on character/behavior reference with Camp Taloali. * Yes No Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Grade Level Entering this coming fall. * Name of School and Contact name. * School Phone Number * (###) ### #### Authorization for Emergency Medical I hearby give my permission to Camp Taloali to call a doctor or emergency medical service and for the doctor, hospital, or medical service to provide emergency medical or surgical care for my child should an emergency arise. It is understood that Camp Taloali will make a conscientious effort to locate parents, and/or any emergency contact listed on this form any action is taken. I/We will accept the expense of medical or surgical treatment. Child Name * First Name Last Name Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Refusal to treat for religious or other reasons, please request waiver form for specific action to be taken by the camp for emergencies. * Yes No Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Authorization to Participate or Exclude Participation in Camp Taloali's Activities I/We nearby give permission for my child to go on field trips away from Camp Taloali's premises, whether on foot or by authorized vehicle with a driver and a chaperone. I give permission for my child to participate in all Camp Taloali events with following expectation. Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Indemnification Agreement (Waiver) I/We agree to indemnify, hold harmless, and defend Camp Taloali and their respective employees, agents, and representatives from and against any and all liabilities, claims, or demands which may be asserted against any or all of them in connection with our applicant's participation in Camp Taloali. This includes holding Camp Taloali harmless for any injury which may occur to our applicant while traveling to the Camp Taloali's facility, or while returning from the Camp Taloali facility to go home. Electronic Signature. You agrees that the electronic signatures, whether digital or encrypted, of the parties included in this Agreement, if any, are intended to authenticate this writing and to have the same force and effect as manual signatures * Today's Date * MM DD YYYY Your child’s registration has been submitted. If you have any questions, please email director@taloali.org. CAMP Staffjuly 29th - august 17th, 2025 Camp Staff Application volunteerStaffjuly 29th - august 17th, 2025 (Ages 18+ ) Volunteer for Summer Camp Summer Camp Volunteer 2 2 Date * MM DD YYYY Name * First Name Last Name Phone Number * Email * Social Security Number (Background Check) * Date of Birth * MM DD YYYY Current Address * Have you been convicted of any crime relating in any manner to children and/or your conduct with them? * Yes No Have you been adjudged liable for civil penalties or damage involving sexual or physical abuse of children? * No Yes Are you now or have you ever been subject to any court involving sexual or physical abuse of a minor, including, but not limited to domestic order of protection? If yes, please explain; * No Yes Are you able to volunteer from July 29th - August 16th? * If not, please share which dates you would be available? Yes No What is your level of experience with American Sign Language (ASL) ? Emerging Learner ASL 1-3 ASL 4-6 Fluent Do you have any experience with DeafBlind children or adults? * Yes No What is your interest in volunteering with our Summer Camp Program? * Do you have any questions about our Summer Camp Program? If not July 29th - August 16th, which days are you available in between these 3 weeks? Thank you for applying to volunteer with us! We will be contacting you shortly. If you have ay further questions, contact the Summer Camp Director at director@taloali.org Fishing Archery Swimming Wilderness Climbing Arts and Crafts WHITE WATER HALF DAY:AGE (12-15) SCENIC HALF DAY:AGE (8-12) Questions about Summer Camp 2025, please contact: director@taloali.org
