Camp Red Kite Online Registration Camp Red Kite Online is an arts camp tailored specifically to the unique interests and needs of young people on the autism spectrum. Each day, campers can engage in classes in Drama, Art, Music, and Movement. The program is led by a team of specialized artists and educators dedicated to creating a safe, welcoming, and comfortable environment for children affected by autism. We aim to foster a shared arts experience that encourages self-expression, social engagement, creative exploration, and above all, FUN! All you need is a smart device with the Zoom Application downloaded, your imagination, and an adult to help out when needed. Families will receive instructions on how to log in for classes following registration. Please contact us at firstname.lastname@example.org with any questions you may have. June 29-July & July 6-9 | 9 days total For Ages 8-22 Child's Full Name* First Last Child's Birthdate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Child's Age as of (date)*8910111213141516171819202122Parent or Caregiver's Name* First Last Street Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Cell Phone*Secondary PhoneEmail* Relationship to Camper*Is your billing address the same as your mailing address above?*YesNoBilling Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Camp Tuition* Full Camp Rate, $300 Full Camp: Pay in two installments ($150 due now, $150 due 1 week prior to camp) I am applying for financial aid Financial Aid ApplicationChicago Children’s Theatre believes every child should have access to our programming regardless of financial position. We make every effort to provide scholarships for children and families with demonstrated need. To receive additional information about this program, please check below. You will need to complete some additional paperwork below.Full Name* First Last Occupation*Current Employer*Average Yearly Household Income (pre-tax)*Please Mark All that Apply* Separated Single Parent Unable to Work Divorced Unemployed Other Circumstance (Describe Further Below) Number of Dependents*Please list any other non-income generation family members or dependents that rely on your household for financial support.*Please list any family circumstances that impact your financial contribution.*How much tuition are you able to contribute for this program?*Please Note: Chicago Children's Theatre grants financial aid and tuition assistance on a rolling basis until all funds are depleted. If we are able to grant you assistance, you will be contacted via phone or email prior to the start date of your selected programs.* I certify that all of the above information is true to the best of my knowledge. I understand that I may be requested to provide documentation of the above circumstances. I understand that submitting this application does not guarantee granting of financial aid and/or tuition assistance.How much financial assistance do you plan to apply for?*Payment InformationThe final registration price will be confirmed and charged separately by CCT Staff. If you have questions about payments, please email Guest Services at email@example.com.Do you have a promo code?How do you intend to pay?*Credit CardMail in a CheckOtherChecks can be made payable to Chicago Children's Theatre and can be mailed to: Chicago Children's Theatre 100 S Racine Ave., Chicago, IL 60607Camper InformationIs your child a returning Red Kite student or camper?*YesNoThird ChoicePlease select the time(s) you are most available to schedule a meet and greet.*Since your child is new to the program, we would like to get to know them before the camp begins. Weekdays 9am-12pm Weekdays 12pm-3pm Weekdays 3pm-6pm Any of the above times I need to schedule a different time Please list any information we should know in order to make their experience more enjoyable.*List any likes, dislikes, behavioral or communication issues, etc. We keep this information private, and only utilize it in an effort to make camp particularly enjoyable for each child.Does your child like to learn and sing new songs?*Does your child like to move and dance to music?*Does your child enjoy drawing, coloring, sculpting, or creating art?*Has your child participated in any after-school or outside-of-school programs or camps?If yes, tell us about their experience.Is there anything else about your child you would like to share with us at this time?* I certify the above information is correct and complete.Thank you for applying!For questions about application information please contact us at firstname.lastname@example.org or 312-374-8829.