Resources for Parents

Summer Adventure

Summer Adventure: July 8 – 20, 2012

Clarke’s Summer Adventure is a two-week summer program for children ages 9 - 14 who are deaf and hard of hearing. Held on our Northampton campus, Summer Adventure offers children the opportunity to interact with other children with hearing loss from all over the country, make new friends and have lots of fun!

Register Below!

Move Well, Think Well, Live Well

Come join us this summer as we put a healthy twist on the traditional summer program experience! Have you ever wondered how to fuel your body for optimum performance? Or how to interpret the nutrition labels on the food packages you eat? Would you like to explore the science behind physical fitness, how your body works and learn what it means to be a part of a team? Would you like to challenge yourself and build your confidence? How about experimenting in the kitchen with fresh ingredients while creating delicious recipes? Or using the latest technology (iPads) to track, count and organize your individual wellness plan during your 2 week stay? How about swimming, field trips, hiking and rock climbing? Our program is a wonderful way to make new friends and have a great time while practicing living a full, actively involved life!

If you have questions, please contact Martha deHahn at or 413.584.3450 (V/TTY) to learn more.

Program cost is $1,445. Day Rate (Monday thru Friday) available, $850.00

Early Registration rate is $1,325 if deposit is made on or before Monday, May 21, 2012.

Applicant Information

First Name*

Last Name*

Age

Date of Birth

Sex

Address*

City*

U.S. State

ZIP Code*

Country*

Parent Information

Parent(s)

Main Contact Email*

Parent 1 Name*

Parent 1 main phone number*

Parent 2 Name

Parent 2 main phone number

Educational & Summer Program Information

What school do you attend?

What grade are you in?

Type of school program

Other

Have you attended the Clarke Summer Program before?

How did you hear about the Clarke Summer Program?

Why are you interested in attending this program?

Tell us about other summer programs you may have attended in the past:

Residential

Day

With hearing-impaired children

With hearing children

For how many years?

Briefly describe

Hearing and Communication Information

Please tell us about your hearing loss:

Profound (90 dB - 120 dB)

Severe (60 dB - 90 dB)

Moderate (30 dB - 60 dB)

Mild (10 dB - 30 dB)

Do you wear hearing aid(s)?

Do you have a cochlear implant?

How good are your auditory/oral communication skills? Select one answer in each section.

Listening?

Speech?

Other than a hearing loss, do you have any other special needs?

Do you have any health or medical problems that would limit your participation in the sports and recreation portion of the program?

If you answered yes to either of the above two (2) questions, please explain

Do you take medication?

If yes, please list

Payment Information

The total cost of the program is $1,445. The early registration rate of $1,325 is good through Monday, May 21, 2012.

Are you applying for the full 2-week Summer Program?

Summer Program Day Rate (Monday thru Friday) is $850.

A $100 deposit is required with this application. This deposit is applied to the tuition if the child is accepted. If a child is unable to attend our program and we are notified in writing of his/her withdrawal at least four weeks prior to the starting date, a full refund will be made.

You can make this $100 deposit by CHECK or by CREDIT CARD.

If child is accepted, the balance is due by June 28, 2012.

Payment Method*

Comments or Questions?

Would you like to join Clarke's email list?

We will never sell or share your email address or contact information.

Clarke Schools for Hearing and Speech

Navigation

Resources for Parents

Summer Adventure

Summer Adventure: July 8 – 20, 2012

Register Below!

Move Well, Think Well, Live Well