Office of Developmental Programs Waiver Service Request Form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the participant's name and address in the designated fields. Ensure accuracy as this information is crucial for communication.
3. Fill in the age of the participant on the first day of camp, along with their city, state, and ZIP code.
4. Provide all email addresses where notifications should be sent. This is essential for timely updates regarding camp sessions.
5. List all camps your child will attend, including program names, session dates, and locations. This helps staff prepare accordingly.
6. Complete the emergency contact section by listing individuals who can be reached during camp hours. Include their relationship to the child.
7. In the medical information section, check any applicable conditions and provide details about medications if necessary.
8. Review all entries for accuracy before signing at the bottom of the form to confirm understanding of guidelines and permissions.

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