Camp Get Ahead Registration

Gearing up for Camp Get Ahead 2026! Blind and visually impaired youth, ages 10-18, are invited to join us for an unforgettable week of learning, sharing, and adventure! Camp Get Ahead will take place during Monday June 8th 2026 to Saturday June 13th, 2026. Camp will take place at Camp Palehua.

"*" indicates required fields

Camper Information

Name*

Date of Birth*

Age*

T-Shirt size*

Gender*

School*

Home Address*

Parent/ Guardian Information

Parent/ Guardian Full Name*

Relationship to Camper*

Phone Number (Primary)*

Phone Number (Alternative):*

Email*

Emergency Contact (Different from above)

Full Name:

Relationship to camper:*

Phone number:*

Medical History and Information

My child has medical coverage with:*

HMSA

Kaiser

HMSA Quest

Kaiser Quest

Other (please specify)

Untitled*

Does your child have any physical, cognitive, or developmental limitation that may prevent them from independently performing certain tasks? If yes, please explain.*

Does your child have any drug/food allergies, dietary restrictions, or medical concerns staff should be aware of? (ex. Mental health/ Behavioral, Injuries)?*

If your child is on any medications (both over the counter and prescription), please list below . Include the drug name, dosage, and frequency.*

Medication Policy: I understand that Guide Dogs of Hawaii does not administer medication. Should I trust my child with this task of self-administering, I understand that their medications will be held in a controlled location, and that my child will be held responsible for taking their medication as prescribed, under staff supervision. Furthermore, I understand that if I choose not to allow my child to self-administer, I am responsible for providing someone qualified for this task, and that person’s information must be submitted to Guide Dogs of Hawaii no later than May 19, 2026. (check box below)*

I understand

Sign your initials in this box only if you opt to entrust your child with self-administering medications under staff supervision.*

Camp Activity Highlights

Excursion to Wet N Wild
Horseback riding at Palehua Trails
Guided hike and sensory nature experience
Adaptive sports and outdoor activities
All-accessible camp experiences: Storytelling, arts & crafts, games, talent show, and more!

Code of Conduct

As part of Guide Dogs of Hawaii’s commitment to making social activities a great place to meet and interact with others, you agree to abide by this Code of Conduct. Your commitment to this Code of Conduct during all social activities will help create a positive experience for all the participants.

Respect Others

We encourage everyone to treat each other with mutual respect. Do not threaten, harass, bully, or abuse others participating in the social activity.

Play Nice

Guide Dogs of Hawaii will not tolerate disruptive behavior such as yelling, pushing, hitting, profanity or stealing. Participants want to learn and socialize in a positive environment.

Accept Responsibility

You are responsible and liable for your behavior while participating in any GDH sponsored social activity. Remember, you are responsible for anything you say or do and for your own personal belongings.

Uphold the Code

In helping to make our social activity a great way to meet others, learn new things and enhance social skills, you must do your part to uphold this Code of Conduct.

Guide Dogs of Hawaii reserves the right to remove any participant who violates the Code of Conduct, including disallowing future participation in GDH sponsored social activities.

Guide Dogs of Hawaii also reserves the right to amend or change the Code of Conduct at any time without notice. You agree to periodically review this document to ensure you are doing your part.

COVID-19

In order to maintain the proper regulations that ensure the health and safety of the clients and staff, all participants who sign up agree to the following:

Prior to dropping off your child, please check for abnormal temperature and any other signs of illness. If your child is displaying any symptoms of illness, we ask that you contact us immediately to let us know that they will not be attending.

TRANSPORTATION PERMISSIONS AND WAIVER

My child has permission to ride chartered transportation to and from the following depot: (Check one box)*

Ho’opono services for the blind – (1901 Bachelot St. Honolulu, HI 96817)

Safeway @ Waikele Shopping Center - (94-809 Lumiana St. Waipahu HI 96797)

I acknowledge that I must transport my child to and from the bus depot no earlier than 15 minutes prior to the appointed drop off time, and no later than 15 minutes after the appointed pick up time. (Please initial)*

ACKNOWLEDGEMENT OF PERSONAL LIABILITY AND WAIVER

Please initial in the spaces below to acknowledge that you have read, understand, and agree with the statements below.

I understand that this social activity may exposed my child to some risks and I assume any such risk that may arise there from. I accept full responsibility for all medical expenses for any injuries or illnesses that might occur to my child by reason of his/her participation. By signing this form, however, I hereby release Guide Dogs of Hawaii, it’s Board, its board members, directors, employees, and volunteers (“released parties”) from and against any and all claims, demands, actions, complaints, suits or other forms of liability that any of them may sustain arising out of my child’s failure to comply with local, state, and federal laws, GDH policies, procedures, and the Code of Conduct; (b) arising out of any damage or injury caused by my child; or (c) arising out of a parent/guardian/or other designated driver’s operation of a motor vehicle in relation to this activity.*

I also agree to indemnify and hold harmless the released parties from the released claims, including any and all related costs, attorney fees, liabilities, settlements, and/or judgements.*

SIGNATURE

I confirm that I have carefully read this consent and release and agree to its terms knowingly and voluntarily. I also confirm that I am the parent or legal guardian of the child, or I am a participant 18 years or older.

Participant signature:*

Parent/ Legal Guardian signature (If camper is under 18 years old)*