The
complete resource to help parents and professionals include ALL kids in summer camp
Participant
Profile For Inclusion Facilitators
NAME____________________________________________________________ AGE___________________
NATURE
OF CHILDS
DISABILITY__________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
INCLUSION
GOALS:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
PHYSICAL
NEEDS/ABILITIES:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
MEDICAL
NEEDS:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
COMMUNICATION
USED:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
BEHAVIOR
INTERVENTIONS:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
LEVEL
OF INDEPENDENCE:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
LEISURE
INTERESTS:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
OTHER
INFORMATION:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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