School Year Trips Interest Form

Camp Sequoia Weekend Trip Interest form for NEW Campers

Thanks for your interest in Camp Sequoia’s weekend trip program. If you have questions, please call Brian @ 610-771-0111.

Name*

First

Last
Child's Name*

First

Last
Child's Age*
Phone*
Email*
Trip(s) Desired
To help us get to know your son a bit better, we'll set up an interview (Skype/FaceTime) before the trip. This typically takes 10-20 minutes. Having the below information helps us to be best prepared for that conversation.
What are some of your child’s best qualities your child you would like our staff to know?
Please rate your child on a 1-5 scale
(1=Needs significant work, 5=Does very well)
Paying attention to others*
Understanding personal space*
Asking questions about others*
Participating in a group*
Making eye contact*
Greeting others*
Understanding the feelings / emotions of others*
Participating in a reciprocal conversation*
Showing empathy*
Asking for help*
Listening*
Personal problem solving*
Taking responsibility for self*
Compromising or negotiating*
Understanding consequences*
Doing chores*
Understanding what people mean by what they say*
Accurately identifying facial expressions and body language*
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