Sunsation / Integration Application Form

Please complete this form and submit it by May 23, 2026.

Parent/Guardian meetings will be scheduled shortly after. Email confirmations will be sent out by June 15, 2025 for camp placements.

PARTICIPANT INFORMATION

Full name of child (First & Last Name):

Birthday of Child

Age of your child as of July 1 of this year:

Gender and Pronouns (optional):

Child's Care Card Number:

Child's approximate weight:

Child's approximate height:

Family doctor's name and phone number:

CYSN social worker's name and phone number:

MAIN CONTACT INFORMATION

Full name of parent(s) / guardian(s):

Full mailing address (including postal code):

Home phone:

Work phone:

Cell phone:

Email address:

Emergency contact #1 full name:

Emergency contact #1 relation to child:

Emergency contact #1 work phone number:

Emergency contact #1 cell phone number:

Emergency contact #2 full name:

Emergency contact #2 relation to child:

Emergency contact #2 work phone number:

Emergency contact #2 cell phone number:

CAMP SUNSATION / INTEGRATION GENERAL INFORMATION

Do you have more than one child attending Camp Sunsation / Integration?

Yes

If YES, please list their names and if it is preferred that they are at camp together.

The Ministry of Children & Family Development provides funding for Camp Sunsation & Integration summer camp care for eligible clients. Applicants are eligible for one week of summer camp. To qualify for Integration, individuals must satisfy the criteria used to define Integration (see below). Nanaimo Parks, Recreation, and Culture offer five summer camps that accommodate Integration campers:

Bowen Explorers at Bowen Park
Camp Wild at Oliver Woods Community Center
Girls Get Active at Beban Park
Camp Holidaze at Beban Park
Centennial Sports Camp at Harewood Centennial Park

These camps are designed for children aged six to twelve (6-12 years old) and operate from 8:30 am to 4:30 pm for integration campers. Participants must be between the ages of 6-12 years at the time of application and placement must qualify for support through the Ministry of Children & Family Development's Children & Youth with Support Needs (CYSN) program area.

INTEGRATION 2026 (Hours 8:30 am-4:30 pm): Integration is for children ages 6-12 years who are able to function in small group care within a larger group setting. Integration children work with our qualified leader to participate in Bowen Explorers, Camp Wild, Girls Get Active, Centennial Sports Camp and Camp Holidaze. Children in Integration must be able to feed and toilet independently. They need to be able to adjust to transitions during the day and follow along with the camp schedule. They may have the potential of travel on public transit. Maintaining good communication with their support worker is crucial in supporting your child and coming up with strategies to create a successful week at camp.

CAMP SUNSATION 2026 (Hours 9:00 am-4:00 pm): Camp Sunsation will run from July 14 to August 15 - three weeks designated as youth weeks (ages 6-12 years) and two weeks reserved for teens (ages 13-18 years). Camp Sunsation runs as a regular camp that is for children/youth with diverse abilities and that may require special accommodations for their medical conditions or diverse abilities. This camp is best suited for campers who require 1:1 support and who may need more assistance with transitioning through the day or prefer more flexibility in their day. We will take campers on out trips and will be taking a bus for this. For the safety and comfort of all participants, campers must be fully potty trained only requiring minimal assistance.

INTEGRATION CAMPS AVAILABLE

Please choose the camps that best suit your child's needs and age.

Bowen Explorers (ages 6-9 yrs)

Camp Wild (ages 6-10 yrs)

Camp Holidaze (ages 6-11 yrs)

Girls Get Active (ages 7-12)

Centennial Sports Camp (ages 8-12 yrs)

Camp Sunsation (runs out of Hammond Bay School)

Unsure which camp would be best

AVAILABILITY

Please choose the weeks you are NOT available for INTEGRATION camps.

June 30-July 4 (integration for ages 6-12)

July 7-11 (integration for ages 6-12)

July 14-18 (integration for ages 6-12)

July 22-26 (integration for ages 6-12)

July 28-August 1 (integration for ages 6-12)

August 5-8 (integration for ages 6-12)

August 11-15 (integration for ages 6-12)

August 18-22 (integration for ages 6-12)

August 25-29 (integration for ages 6-12)

Please choose the weeks you are NOT available for SUNSATION camp.

July 14-18 (integration for ages 6-12)

July 21-25 (integration for ages 6-12)

July 28-August 1 (integration for ages 13-18)

August 5-8 (integration for ages 6-12)

August 11-15 (integration for ages 13-18)

DETERMINING LEVEL OF SUPPORT REQUIRED

Has your child attended Camp Sunsation or Integration in the past?

Yes

If YES, what year and what camp did the attend?

Does your child have a care plan or behavioural plan assigned to them?

Yes

If YES, please attach the information.

Care Plan or Behaviour Plan

Does your child have an education assistant assigned with them at school?

Yes

If YES, how much time per week do they receive support and what does this support look like?

Is the support with any other children?

Yes

What CHILD to ADULT RATIO do you find works best for your child?

1:1

2:1

3:1

Describe your child's personality.

What accommodations or strategies should our leaders incorporate to support your child best?

Participant's diverse abilities:

Intellectual Challenges

Mental Health Challenges (depression, anxiety)

Developmental Coordination

Fetal Alcohol Spectrum Disorders (FASD)

Down Syndome

Cerebral Palsy

Autism

Sensory Integration Disorder

Attention Deficit Hyperactivity Disorder (ADHD)

Other participant diverse abilities. Please list and explain.

Other medical conditions:

Asthma

Epilepsy

Diabetes

Sensitivity to Sun

Seizure Disorder

Other medical conditions. Please list and explain.

Allergies and Procedures:

MEDICATION - Campers must be able to take all medication independently. Please indicate ALL medications (include those taken at home) in order to assist doctors in the case of an emergency.

Medication #1 Name:

Medication #1 Dosage:

Medication #1 Time Taken:

Condition Being Treated:

Medication #2 Name:

Medication #2 Dosage:

Medication #2 Time Taken:

Condition Being Treated:

Medication #3 Name:

Medication #3 Dosage:

Medication #3 Time Taken:

Condition Being Treated:

SWIMMING SKILLS

Does your child enjoy swimming?

Yes

Has your child had swimming lessons?

Yes

If Yes, what level was completed?

My child can swim:

Independently

With Assistance

With a Lifejacket (all times/deep end)

Is your child comfortable in the deep end of the pool?

Yes

VISION

Does your child have vision difficulties?

Yes

If Yes, please outline any details related to their vision.

HEARING

Does your child have hearing difficulties?

Yes

If Yes, please outline any details related to their hearing.

MOBILITY

My child can:

Walk independently

Walk with assistance

Walk with aids

Has your child taken public transportation?

Yes

DAILY ROUTINES AND SKILLS: Campers must be potty trained and only require minimal assistance.

Does your child wear sunscreen?

Yes

Does your child require assistance applying sunscreen?

Yes

My child can eat

Independently

With assistance

If your child requires eating assistance, please explain.

My child can go to the toilet

Independently

With assistance

If your child requires toileting assistance, please explain.

COMMUNICATION SKILLS

Does your child understand verbal conversation?

Yes

Is your child able to follow simple instructions?

Yes

My child is able to express needs with:

Simple words

Complex words

Gestures

Sign language

A communication device

Other

Is there any other information you feel is important for us to know?

SOCIAL SKILLS

Your child prefers:

To be alone

To be with others

Your child prefers to be with someone who is:

High energy

Low energy

Will your child wander?

Occasionally

Never

My child may run away

Will your child participate in new situations...

Willingly

Hesitantly

Is there any other information you feel is important for us to know about social skills??

COGNITION / BEHAVIOUR SKILLS

Does your child present at a younger age cognitively?

Yes

If Yes, what age?

Does your child see a behavioural consultant?

Yes

If Yes, can we contact the consultant? Please provide the name and phone number here.

Please check applicable behaviours:

No unusual behaviour

Non-compliance

Self-abusive

Foul language

Physical aggression

Disruptive behavior

How does your child handle the transitions of activities throughout the day?

Are there any other applicable behaviours we should know about (behavioural triggers, calming strategies, helpful accommodations)?

Tell us about activities your child enjoys or engages well in.

Tell us about activities your child dislikes and environmental triggers.

Is there anything you think would be important to share?

Should a camper become ill and unable to attend camp, we will utilize a last-minute cancellation list to offer the spot to another child. Would you like your child to be added to the list?

Yes

PHOTOGRAPHY/VIDEOGRAPHY RELEASE

Do you give the City of Nanaimo, Department of Parks, Recreation and Culture permission to take photos/videos of your child? These could be used for documenting and promoting the program.

Yes

-For Office Use-

Important Information About Privacy

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Privacy Protection Act (FOIPPA), and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose.

For further information regarding the collection, use, or disclosure of personal information, please contact the Legislative Services Office at 250-755-4405 or at foi@nanaimo.ca

Last updated: September 16, 2025

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Important Information About Privacy

For further information regarding the collection, use, or disclosure of personal information, please contact the Legislative Services Office at 250-755-4405 or at foi@nanaimo.ca

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