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Camper Referral 2021 - Teacher

Teacher Form

Camper Referral 2021 – Teacher

Camper Referral 2021 - Teacher

For teachers (general education and special education) of child being referred for potential participation in Bay Cliff Health Camp for summer 2021. Complete this form and submit, or you have the option (at the bottom of the form) to save and return later. All fields marked with * are mandatory. You will get an immediate notification of receipt (or link to access later). If you don't, please reach out to Bay Cliff Health Camp for support (906)345-9314 or information@baycliff.org
  • Basic School Information

  • Drop files here or
    Accepted file types: jpg, png, pdf, .
    Upload current annual forms. We will request IEP from you if not attached to this form submission - as part of camper's application process to Bay Cliff Health Camp. We understand that you may prefer to fax, email or mail the IEP.
  • Teacher Information

  • We will only phone you for questions specific to this child/this summer, after trying the email provided.
  • Where the referred child spends time with you. (Ex. General Education, Special Education, resource room, self-contained classroom)
  • Eligibility

    Bay Cliff Health Camp has developed a set of criteria to determine if children will be successful in our typical summer program. The entire criteria are available on our website, and several key indicators are included below. Check each box that is correct (aka the child 'is', 'does' or 'has') and add any notes necessary for clarification at the bottom.
  • Skills

  • Behavior

  • Recommendations

    What recommendations do you have for Bay Cliff (for this child's success, for understanding and working with them, especially related to virtual programming)?
  • This field is for validation purposes and should be left unchanged.
Save and Continue Later
Theresa Campana2021-01-22T14:56:33-05:00

N4175 County Road KCA, P.O. Box 310, Big Bay, MI 49808    |    baycliff@baycliff.org    |    (906) 345-9314    |    Fax: (906) 345-9890

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