Submit Your Special Needs Camp

Print this page

Use the following form to submit a special needs camp to Dayton Children's. We will review your information and post it on our special needs camp calendar, if approved. Please supply contact information in case we need additional information.

Items marked in red are required.

Camp Name (required)

Camp Start Date (required)
Select the date you want the camp to appear on the calendar (for sorting). You can add other/multiple camp dates in the "Additional Comments" field.

Camp is for children with these conditions: (required)
Select all that apply

Brief Description (required)

Type of Camp (required)

Camp Locations (required)

List Sponsoring Organizations and Website Addresses

Additional Comments
Feel free to type out all camp dates and times, or any special notes we should know about.

Camp's Full Website URL, if available
(i.e. http://www.campsite.org)


Administrative Contact:

This is the person we would call to ask for additional information before we can post this camp on our site.

Name (required)

Phone (required)

Email

Street Address

City

State

Zip


People interested in this camp can contact:

Name

Phone Number

E-mail

 

Special Needs Resource Center

A program of Dayton Children's serving families in Dayton and surrounding areas.

Accreditations

The Children's Medical Center of Dayton Dayton Children's
The Right Care for the Right Reasons

One Children's Plaza - Dayton, Ohio - 45404-1815
937-641-3000
www.childrensdayton.org