Get Ready for Camp Moja 2023!

 

We plan to have registration available on February 3 and will post a link to this website. Once registration is available a $50 non-refundable deposit is due at registration.  This must be paid online, unless prior approval has been made to pay via check.

Camp Moja 2023 will be $350.00 The cost includes the $50 deposit due at the time of registration.

If you sign up and are placed on the waitlist, we will let you know if a spot opens up!

 

In preparation for registration, you can go ahead and gather the following info:

  • Recent photo of camper (will need to be uploaded to ACTIVE site – shoulders and up only please).*
  • Photo/copy of the insurance/Medicaid card (will need to be uploaded to the ACTIVE site).*
  • What time of day does the camper take meds (Breakfast, lunch, dinner, bed)
  • How many medications/supplements per day does the camper take
  • Camper T-shirt size
  • Degree of camper’s intellectual disability (mild, moderate, or severe)
  • Camper’s diet (regular, vegetarian, gluten-free or dairy-free)
  • Has/is the camper
    • Had a fall in the last 90 days
    • A violent outburst in the last year
    • A tetanus shot in the last 10 years
    • Diabetic
    • Have seizures
    • Take seizure medication
  • Name, phone, email of 2 emergency contacts that are available to pick the camper up at any point of an emergency
  • Name, phone, email of the person for whom the medical registration should be sent (this should be the parent who lives with the camper, a QDDP/Case Manager, or house manager. not the camper)
  • Name, phone, email of the person (legal guardian or camper who is their own guardian) who will need to sign the waivers

Optional information to have on hand:

  • Does the camper have a roommate/counselor preference?
  • Does the camper have a talent for the talent show already picked out (if so, what)

*these items are required, but not at the time of registration.