Camp Let Loose 2026 - Participant - Friendship Circle San Diego

E-mail*

Camper's Name*

First Name Last Name

Age*

Gender

MaleFemalePrefer not to say

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parent's name or Aid (Attending Camp)*

First Name Last Name

Parent's name or Aid (attending camp) Cellphone*

Parent's Email*

Emergency Contact*

How did you hear about Camp Let Loose?

Will you get funding from Regional Center?*

YesNo

Service Coordinator's Full Name*

First Name Last Name

Service Coordinator's E-mail*

Service Coordinator's Phone Number*

Tell us about your camper*

What is your camper's diagnosis?*

Any known triggers or sensory issues?*

What are your child's interest or most motivating activity or object?*

Does your child have a hard time processing emotions?*

YesNo

Does your camper have any allergies or medical issues we should be aware of?*

How does your child communicate his/her needs?*

Is there anything else you would like us to know?

Which programs would you like to attend? * Select all the outings you are interested in attending *PARENTS AND AIDS GO FREE*

Monday, July 6 – Airtrack Trampoline Park - $30/personTuesday, July 7 – San Diego Zoo - $30/personWednesday, July 8 – Fleet Science Center - $30/per jumperThursday, July 9 – Water Wave Park - $30/personFriday, July 10 – Pelly's Mini Golf - $30/person

I am in need of scholarship

Yes

Full names of any additional family members attending (please note age and how they are related)*

I grant the Friendship Circle of San Diego permission to share the photographs taken during this event on their social media.*

YesNo

I grant the Friendship Circle of San Diego permission to use photographs taken during this event on their for any future advertising.*

YesNo

Payment*

Credit Card Paypal eCheck Other

Postal / Zip Code

Country

Camp Let Loose Code of Conduct Waiver

At Friendship Circle San Diego, we are committed to creating a welcoming, inclusive, and safe environment for all participants, volunteers, staff, and community members. By signing this Code of Conduct Waiver, you agree to uphold the following standards of behavior during your participation in Camp Let Loose:

Respect for Others

Treat all participants, volunteers, staff, and guests with kindness, patience, and respect.
Use positive and inclusive language; bullying, harassment, discrimination, or any form of harmful behavior will not be tolerated.
Respect personal space and boundaries of others at all times.

Respect for the Camp Location & Property

Take care of all camp facilities, equipment, and property.
Clean up after yourself and assist in keeping the camp environment tidy and welcoming.
Do not engage in any activities that may cause damage to property or the environment.

Following Rules & Directions

Listen to and follow all instructions given by Friendship Circle staff, camp leaders, and volunteers.
Adhere to all safety guidelines and emergency procedures.
Remain within designated camp areas and do not leave the group without permission from a staff member.

Participation & Attitude

Arrive on time, ready to engage in camp activities with a positive attitude.
Be an active and supportive participant, encouraging friendship and teamwork.
If a problem arises, report concerns to a staff member rather than attempting to handle them alone.

Zero-Tolerance Policies

The use of drugs, alcohol, or tobacco is strictly prohibited.
Physical violence, inappropriate behavior, or refusal to follow camp rules may result in immediate removal from the program.
Theft, vandalism, or any other unlawful behavior will be reported and handled accordingly.

Agreement & Acknowledgment

By submitting my Camp Let Loose registration below, I acknowledge that I have read, understood, and agree to abide by the Camp Let Loose Code of Conduct. I understand that failing to adhere to these guidelines may result in my dismissal from camp activities.

Thank you for your cooperation in making Camp Let Loose a fun, respectful, and safe experience for everyone!

Agreement & Acknowledgment*

By checking this box, I acknowledge that I have read, understood, and agree to abide by the Friendship Circle of San Diego's Camp Let Loose Code of Conduct. I understand that failing to adhere to these guidelines may result in my dismissal from camp activities.

I would like to receive news and updates by email