Participant Information Participant Name* Please enter first and last name.
Has Your Address Changed?* Participant's Address
Participant's Residence Type Agency Name
Job / Program (Adults) OR School / Grade / Teacher (Youth)
Contact Information Has Parent / Guardian / House Manager Changed?* Parent/Guardian #1 / House Manager - Name Please enter first and last name.
Parent / Guardian #1 Home Phone
Parent / Guardian #1 Cell Phone
Parent / Guardian #1 - Email*
Would you like to add another parent/guardian? Parent / Guardian #2 Name Please enter first and last name.
Parent / Guardian #2 Home Phone
Parent / Guardian #2 Cell Phone
Parent / Guardian #2 - Email
Emergency Contact Has Your Emergency Contact Changed?* Emergency Contact Name Must be different than parent/guardian listed.
Emergency Contact Phone
Personal Information Has Your Personal Information Changed?* Self-Care Needs
Allergies
Adaptive Equipment
Seizures? Vision / Hearing Concerns:
More information you would like us to know about the participant:
Special Events Saturday 07/01/23 - 10:AM-12:00PM - Film Production Red Carpet Event The SPARC Film Production Red Carpet Event is a not-to-be-missed opportunity to celebrate the talents and creativity of participants from the SPARC Community. Join us for an unforgettable event filled with inspiring short films, a chance to meet the incredible filmmakers, and award presentation. This fun and inclusive event is the culmination of our SPARC Film Production Program and is an opportunity to witness the power of storytelling from a diverse perspective.
Please Choose One Saturday 07/01/23 - 10:AM-12:00PM - Film Production Red Carpet Event
Weekend Adventures Friday 05/26/23 to Monday 05/29/23 - Memorial Day Weekend at Camp Jewell! 4 days and 3 nights of fun and adventure await participants at Camp Jewell! All meals are included in this trip as well as outdoor adventures such as Kayaking, Fishing, Climbing, Arts & Crafts and so much more!
Please Choose One Friday 05/26/23 to Monday 05/29/23 - Memorial Day Weekend at Camp Jewell!- $475 (Respite) Friday 05/26/23 to Monday 05/29/23 - Memorial Day Weekend at Camp Jewell!- $700 (Non-Respite)
Saturday 06/3/23 - 11:00AM-3:00PM - Nature Walk & Scavenger Hunt Enjoy the beautiful Lenoir Preserve through a self-guided scavenger hunt and activity provided by parks staff. The Lenoir Preserve Nature Center houses many different nature exhibits as well as a Butterfly & Hummingbird Garden. After the scavenger hunt and exploring the preserve participants will enjoy lunch at Fortina Pizza.
Please Choose One Saturday 06/3/23 - 11:00AM-3:00PM - Nature Walk & Scavenger Hunt Saturday 06/3/23 - 11:00AM-3:00PM - Nature Walk & Scavenger Hunt
Saturday 06/10/23 - 11:30AM-3:30PM - Movie Mixer! Saturday Movie Mixer: Spider-Man: Across the Spider-Verse!
Participants will meet up at Ridge Hill for a Saturday Movie Matinee of the Newest Spider- Man Movie and Mix it up at the Yard House after for lunch with friends.
Please Choose One Saturday 06/10/23 - 11:30AM-3:30PM - Movie Mixer! Saturday 06/10/23 - 11:30AM-3:30PM - Movie Mixer!
Sunday 06/11/23 - 12:00PM-4:00PM - Hike with Pygmy Goats at Greenburgh Nature Center B.Y.O.P. - Bring your own picnic and hike with Pygmy Goats
at The Greenburgh Nature Center! Pygmy goats, Maggie and Willow, require a lot of enrichment and exercise to stay happy and healthy. Our SPARC group can provide them with the best possible care by taking them on a forest trail walk with one of the Nature Center's naturalists. Participants will enjoy their picnic lunch after exploring the rest of the Nature Center!
Please Choose One Sunday 06/11/23 - 12:00PM-4:00PM - Hike with Pygmy Goats at Greenburgh Nature Center Sunday 06/11/23 - 12:00PM-4:00PM - Hike with Pygmy Goats at Greenburgh Nature Center
Saturday 06/17/23 - 4:00PM-8:00PM - Black Light Mini Golf & Arcade Participants will enjoy a fun filled evening at Monster Mini Golf in Ridge Hill - After Black Light Mini Golf and some time in the Arcade Participants will enjoy a delicious dinner at
Public Pizza Italian Restaurant.
Please Choose One Saturday 06/17/23 - 4:00PM-8:00PM - Black Light Mini Golf & Arcade Saturday 06/17/23 - 4:00PM-8:00PM - Black Light Mini Golf & Arcade
Saturday 06/24/23 - 6:00PM-9:00PM - Summer Solstice Party! Celebrate the beginning of Summer at Westmoreland Sanctuary in Mount Kisco! Participants will party the night away and enjoy hordouvres and desserts, a special guided night hike, and a live performance by the School of Rock Band!
Please Choose One Saturday 06/24/23 - 6:00PM-9:00PM - Summer Solstice Party! Saturday 06/24/23 - 6:00PM-9:00PM - Summer Solstice Party!
Sunday 06/25/23 - 11:00AM-4:00PM - Aqua Adventure At Tibbets Brook Park! Tibbets Brook Park features one of the most exciting aqua complexes in the country! Participants can enjoy in-pool basketball and volleyball, a dip in one of the lap lanes, and of course the signature Lazy River! Bring your own Picnic or Purchase something yummy at the Snack Bar!
Please Choose One Sunday 06/25/23 - 11:00AM-4:00PM - Aqua Adventure At Tibbets Brook Park! Sunday 06/25/23 - 11:00AM-4:00PM - Aqua Adventure At Tibbets Brook Park!
Program Enrollment Selection #1 If choosing Link Up, it must be chosen as Selection #1
Please choose one Link Up Link Up Extended VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: Horseback Riding LIVE: SPARC's Got Talent! LIVE: Spring Break Drumming Workshop for Teens LIVE: Social Club LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Golf Clinic LIVE: Mingle and Dine LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Tennis Hotshots Summer Only LIVE: Bowling LIVE: Club SPARC Live: SPIRIT
Link Up: Number of Days Select 1 2 3 4 5
Link Up Extended: Number of Days Select 1 2 3 4
Link Up: Which Days? Link Up Extended: Which Days? Season #1* Select Spring 2023 Summer 2023
Location #1
Day(s) of the Week #1: Please check all that apply.
Summer 1st Program Fee Please select the SUMMER program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: Horseback Riding 9:00am - $300 (Respite) LIVE: Horseback Riding 9:45am - $300 (Respite) LIVE: Horseback Riding 10:30am - $300 (Respite) LIVE: Horseback Riding 9:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45:am - $515 (Non-Respite) LIVE: Dinner & A Movie - $375 (Respite) LIVE: Dinner & A Movie - $500 (Non-Respite) LIVE: Social Club - $200 (Respite) LIVE: Social Club - $275 (Non-Respite) LIVE: Golf Clinic - $200 (Respite) LIVE: Golf Clinic - $300 (Non-Respite) LIVE: Teen Time - $200 (Respite) LIVE: Teen Time - $275 (Non-Respite) LIVE: 10 Week Bowling - $300 (Respite) LIVE: 10 Week Bowling - $375 (Non-Respite)
Summer 2nd Program Fee Please select the SUMMER program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: Horseback Riding 9:00am - $300 (Respite) LIVE: Horseback Riding 9:45am - $300 (Respite) LIVE: Horseback Riding 10:30am - $300 (Respite) LIVE: Horseback Riding 9:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45:am - $515 (Non-Respite) LIVE: Dinner & A Movie - $375 (Respite) LIVE: Dinner & A Movie - $500 (Non-Respite) LIVE: Social Club - $200 (Respite) LIVE: Social Club - $275 (Non-Respite) LIVE: Golf Clinic - $200 (Respite) LIVE: Golf Clinic - $300 (Non-Respite) LIVE: Teen Time - $200 (Respite) LIVE: Teen Time - $275 (Non-Respite) LIVE: 10 Week Bowling - $300 (Respite) LIVE: 10 Week Bowling - $375 (Non-Respite)
Program Fee #1 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Horseback Riding 9:00am - $300 (Respite) (Closed)LIVE: Horseback Riding 9:45am - $300 (Respite) LIVE: Horseback Riding 10:30am - $300 (Respite) LIVE: Horseback Riding 9:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) (Closed)LIVE: Horseback Riding 10:45:am - $515 (Non-Respite) Live: SPIRIT - FREE NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-Respite) LIVE: Club SPARC - $525 (Non-Respite) LIVE: Club SPARC - $385 (Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: Social Circle for Adults - $385 (Respite) LIVE: Social Circle for Adults - $525 (Non-Respite) LIVE: Social Circle for Adults 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 30 Week Bowling - $750 (Respite)
Link-up Program Fee* Please select number of days the participant will attend program each week. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One 5 Days Each Week - $750 4 Days Each Week - $650 3 Days Each Week - $450 2 Days Each Week - $375 1 Day Each Week - $275 Non-Medicaid Inquiry
Link-up Extended Program Fee* Please select number of days the participant will attend program each week. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility.
Please Choose One 4 Days Each Week Respit - $200 3 Days Each Week Respit - $150 2 Days Each Week Respit - $100 1 Day Each Week Respit - $50
Would you like to enroll for a 2nd activity?* Selection #2* If choosing Link Up, it must be chosen as Selection #1
Please choose one VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: Horseback Riding LIVE: Club SPARC LIVE: SPARC's Got Talent! LIVE: Social Club LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Golf Clinic LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Bowling Link Up LIVE: Spring Break Drumming Workshop for Teens LIVE: Mingle and Dine Live: SPIRIT
Season #2 Select Spring 2023 Summer 2023
Location #2
Day(s) of the Week #2 Please select all that apply.
Program Fee #2 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Horseback Riding 9:00am - $300 (Respite) LIVE: Horseback Riding 10:00am - $300 (Respite) LIVE: Horseback Riding 10:45am - $300 (Respite) LIVE: Horseback Riding 9:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45am - $515 (Non-Respite) Live: SPIRIT - FREE NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-Respite) LIVE: Club SPARC - $525 (Non-Respite) LIVE: Club SPARC - $385 (Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 30 Week Bowling - $750 (Respite) LIVE: Spring Break Drumming Workshop for Teens - Free
Would you like to enroll for a 3rd activity? Selection #3 If choosing Link Up, it must be chosen as Selection #1
Please choose one VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: Horseback Riding LIVE: Club SPARC LIVE: SPARC's Got Talent! LIVE: Mingle and Dine Live: SPIRIT LIVE: Social Club LIVE: Social Circle for Adults LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Golf Clinic LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Bowling LIVE: Spring Break Drumming Workshop for Teens Link Up
Season #3 Select Spring 2023 Summer 2023
Location #3
Day(s) of the Week #3 Please select all that apply.
Program Fee #3 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: Horseback Riding 9:00am - $300 (Respite) LIVE: Horseback Riding 10:00am - $300 (Respite) LIVE: Horseback Riding 10:45am - $300 (Respite) LIVE: Horseback Riding 9:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45am - $515 (Non-Respite) Live: SPIRIT - FREE NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-RNOT AVAILABLE!! espite) LIVE: Club SPARC - $525 (Non-Respite) LIVE: Club SPARC - $385 (Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Social Club - $500 (Non-Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 30 Week Bowling - $750 (Respite) LIVE: Spring Break Drumming Workshop for Teens - Free
Would you like to enroll for a 4th activity? Selection #4 If choosing Link Up, it must be chosen as Selection #1
Please choose one VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: Horseback Riding LIVE: Club SPARC LIVE: SPARC's Got Talent! LIVE: Culinary Creations LIVE: Mingle and Dine Live: SPIRIT LIVE: Social Club LIVE: Social Circle for Adults LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Golf Clinic LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Bowling LIVE: Independence Day Virtual Dance Party LIVE: Winter Break Drumming Workshop for Teens Link Up
Season #4 Select Fall 2022 Winter 2023 Spring 2023 Summer 2023
Location #4
Day(s) of the Week #4 Please select all that apply.
Program Fee #4 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: Horseback Riding 10:00am - $300 (Respite) LIVE: Horseback Riding 10:45am - $300 (Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45am - $515 (Non-Respite) LIVE: Club SPARC $550 Live: SPIRIT - FREE NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-Respite) LIVE: Club SPARC - $525 (Non-Respite) LIVE: Club SPARC - $385 (Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Culinary Creations - $375 (Non-Respite) LIVE: Culinary Creations - $285 (Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: Social Circle for Adults - $385 (Respite) LIVE: Social Circle for Adults - $525 (Non-Respite) LIVE: Social Circle for Adults 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 30 Week Bowling - $750 (Respite) LIVE: Winter Break Drumming Workshop for Teens - Free NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $25 (Respite) NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $35 (Non-Respite)
Would you like to enroll for a 5th activity? Selection #5 If choosing Link Up, it must be chosen as Selection #1
Please choose one VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Horseback Riding LIVE: Club SPARC LIVE: SPARC's Got Talent! LIVE: Culinary Creations LIVE: Mingle and Dine Live: SPIRIT LIVE: Social Club LIVE: Social Circle for Adults LIVE: Golf Clinic LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Bowling LIVE: Independence Day Virtual Dance Party LIVE: Winter Break Drumming Workshop for Teens Link Up
Season #5 Select Fall 2022 Winter 2023 Spring 2023 Summer 2023
Location #5
Day(s) of the Week #5 Please select all that apply.
Program Fee #5 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: Horseback Riding 10:00am - $300 (Respite) LIVE: Horseback Riding 10:45am - $300 (Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45am - $515 (Non-Respite) Live: SPIRIT - FREE NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Non-Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-Respite) LIVE: Club SPARC - $525 nonrespite rate LIVE: Club SPARC - $385 (Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Culinary Creations - $285 (Respite) LIVE: Culinary Creations - $375 (Non-Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: Social Circle for Adults - $385 (Respite) LIVE: Social Circle for Adults - $525 (Non-Respite) LIVE: Social Circle for Adults 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 30 Week Bowling - $750 (Respite) LIVE: Winter Break Drumming Workshop for Teens - Free NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $25 (Respite) NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $35 (Non-Respite)
Would you like to enroll for a 6th activity? Selection #6 If choosing Link Up, it must be chosen as Selection #1
Please choose one VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: Horseback Riding LIVE: Club SPARC LIVE: SPARC's Got Talent! LIVE: Culinary Creations LIVE: Mingle and Dine Live: SPIRIT LIVE: Social Club LIVE: Social Circle for Adults LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Golf Clinic LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Bowling LIVE: Independence Day Virtual Dance Party LIVE: Winter Break Drumming Workshop for Teens Link Up
Season #6 Select Fall 2022 Winter 2023 Spring 2023 Summer 2023
Location #6
Day(s) of the Week #6 Please select all that apply.
Program Fee #6 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Horseback Riding 10:00am - $300 (Respite) LIVE: Horseback Riding 10:45am - $300 (Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45am - $515 (Non-Respite) Live: SPIRIT - FREE LIVE: Fall 2021 Miniature Golf - $275 (Non-Respite) LIVE: Fall 2021 Miniature Golf - $175 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-Respite) LIVE: Club SPARC - $525 (Non-Respite) LIVE: Club SPARC - $385 (Respite) LIVE: Culinary Creations - $375 (Non-Respite) LIVE: Culinary Creations - $285 (Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: Social Circle for Adults - $385 (Respite) LIVE: Social Circle for Adults - $525 (Non-Respite) LIVE: Social Circle for Adults 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 30 Week Bowling - $750 (Respite) LIVE: Winter Break Drumming Workshop for Teens - Free NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $25 (Respite) NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $35 (Non-Respite)
Would you like to enroll for a 7th activity? Selection #7 If choosing Link Up, it must be chosen as Selection #1
Please choose one VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: Horseback Riding LIVE: Club SPARC LIVE: SPARC's Got Talent! LIVE: Culinary Creations LIVE: Mingle and Dine Live: SPIRIT LIVE: Social Club LIVE: Social Circle for Adults LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Golf Clinic LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Bowling LIVE: Independence Day Virtual Dance Party LIVE: Winter Break Drumming Workshop for Teens Link Up
Season #7 Select Fall 2022 Winter 2023 Spring 2023 Summer 2023
Location #7
Day(s) of the Week #7 Please select all that apply.
Program Fee #7 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Horseback Riding 10:00am - $300 (Respite) LIVE: Horseback Riding 10:45am - $300 (Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45am - $515 (Non-Respite) Live: SPIRIT - FREE NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-Respite) LIVE: Club SPARC - $525 (Non-Respite) LIVE: Club SPARC - $385 (Respite) LIVE: Culinary Creations - $375 (Non-Respite) LIVE: Culinary Creations - $285 (Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: Social Circle for Adults - $385 (Respite) LIVE: Social Circle for Adults - $525 (Non-Respite) LIVE: Social Circle for Adults 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 30 Week Bowling - $750 (Respite) LIVE: Winter Break Drumming Workshop for Teens - Free NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $25 (Respite) NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $35 (Non-Respite)
Would you like to enroll for a 8th activity? Selection #8 If choosing Link Up, it must be chosen as Selection #1
Please choose one VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: Horseback Riding LIVE: Club SPARC LIVE: SPARC's Got Talent! LIVE: Culinary Creations LIVE: Mingle and Dine Live: SPIRIT LIVE: Social Club LIVE: Social Circle for Adults LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Golf Clinic LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Bowling LIVE: Independence Day Virtual Dance Party LIVE: Winter Break Drumming Workshop for Teens Link Up
Season #8 Select Fall 2022 Winter 2023 Spring 2023 Summer 2023
Location #8
Day(s) of the Week #8 Please select all that apply.
Program Fee #8 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Horseback Riding 10:00am - $300 (Respite) LIVE: Horseback Riding 10:45am - $300 (Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45am - $515 (Non-Respite) Live: SPIRIT - FREE NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-Respite) LIVE: Club SPARC - $525 (Non-Respite) LIVE: Club SPARC - $385 (Respite) LIVE: Culinary Creations - $375 (Non-Respite) LIVE: Culinary Creations - $285 (Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: Social Circle for Adults - $385 (Respite) LIVE: Social Circle for Adults - $525 (Non-Respite) LIVE: Social Circle for Adults 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 30 Week Bowling - $750 (Respite) LIVE: Winter Break Drumming Workshop for Teens - Free NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $25 (Respite) NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $35 (Non-Respite)
Would you like to enroll for a 9th activity? Selection #9 If choosing Link Up, it must be chosen as Selection #1
Please choose one VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: Horseback Riding LIVE: Club SPARC LIVE: SPARC's Got Talent! LIVE: Culinary Creations LIVE: Mingle and Dine Live: SPIRIT LIVE: Social Club LIVE: Social Circle for Adults LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Golf Clinic LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Bowling LIVE: Independence Day Virtual Dance Party LIVE: Winter Break Drumming Workshop for Teens Link Up
Season #9 Select Fall 2022 Winter 2023 Spring 2023 Summer 2023
Location #9
Day(s) of the Week #9 Please select all that apply.
Program Fee #9 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Horseback Riding 10:00am - $300 (Respite) LIVE: Horseback Riding 10:45am - $300 (Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45am - $515 (Non-Respite) Live: SPIRIT - FREE NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-Respite) LIVE: Club SPARC - $525 (Non-Respite) LIVE: Club SPARC - $385 (Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Culinary Creations - $375 (Non-Respite) LIVE: Culinary Creations - $285 (Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: Social Circle for Adults - $385 (Respite) LIVE: Social Circle for Adults - $525 (Non-Respite) LIVE: Social Circle for Adults 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 30 Week Bowling - $750 (Respite) LIVE: Winter Break Drumming Workshop for Teens - Free NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $25 (Respite) NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $35 (Non-Respite)
Would you like to enroll for a 10th activity? Selection #10 If choosing Link Up, it must be chosen as Selection #1
Please choose one VIRTUAL: Lifeskills VIRTUAL: Art VIRTUAL: Movie Night/Netflix & Friends VIRTUAL: Virtual Games Night LIVE: Horseback Riding LIVE: Club SPARC LIVE: SPARC's Got Talent! LIVE: Culinary Creations LIVE: Mingle and Dine Live: SPIRIT LIVE: Social Club LIVE: Social Circle for Adults LIVE: 15 Week Film Production Workshop Fall/Spring Only LIVE: 30 Week Film Production Workshop Fall/Spring Only LIVE: Golf Clinic LIVE: Teen Time LIVE: Tennis Hotshots Fall/Spring Only LIVE: Bowling LIVE: Independence Day Virtual Dance Party LIVE: Winter Break Drumming Workshop for Teens Link Up
Season #10 Select Fall 2022 Winter 2023 Spring 2023 Summer 2023
Location #10
Day(s) of the Week #10 Please select all that apply.
Program Fee #10 Please select the program you are registering for. The price will be displayed in the "total" field at the bottom of the page. Prices reflect Medicaid Respite eligibility. For non-medicaid prices please inquire.
Please Choose One VIRTUAL: Lifeskills - $470 nonrespite rate VIRTUAL: Lifeskills - $270 (Respite) VIRTUAL: Art - $470 nonrespite rate VIRTUAL: Art - $270 (Respite) VIRTUAL: Movie Night/Netflix & Friends - $420 nonrespite rate VIRTUAL: Movie Night/Netflix & Friends - $240 (Respite) VIRTUAL: Virtual Games Night - $270 (Respite) VIRTUAL: Virtual Games Night - $470 (Non-Respite) LIVE: SPARC's Got Talent! - $25.00 (Respite) LIVE: SPARC's Got Talent! - $70.00 (Non-Respite) LIVE: Horseback Riding 10:00am - $300 (Respite) LIVE: Horseback Riding 10:45am - $300 (Respite) LIVE: Horseback Riding 10:00am - $515 (Non-Respite) LIVE: Horseback Riding 10:45am - $515 (Non-Respite) Live: SPIRIT - FREE NOT AVAILABLE!! LIVE: Miniature Golf - $275 (Respite) NOT AVAILABLE!! LIVE: Miniature Golf - $325 (Non-Respite) LIVE: Club SPARC - $525 (Non-Respite) LIVE: Club SPARC - $385 (Respite) LIVE: Culinary Creations - $375 (Non-Respite) LIVE: Culinary Creations - $285 (Respite) LIVE: Mingle and Dine - $500 (Respite) LIVE: Mingle and Dine - $650 (Non-Respite) LIVE: Social Club - $385 (Respite) LIVE: Social Club - $525 (Non-Respite) LIVE: Social Club 30 Weeks - $730 (Respite) LIVE: Social Circle for Adults - $385 (Respite) LIVE: Social Circle for Adults - $525 (Non-Respite) LIVE: Social Circle for Adults 30 Weeks - $730 (Respite) LIVE: 15 Week Film Production Workshop - $400 (Respite) LIVE: 15 Week Film Production Workshop - $650 (Non-Respite) LIVE: 30 Week Film Production Workshop - $765 (Respite) LIVE: Golf Clinic - $250 (Non-Respite) LIVE: Golf Clinic - $150 (Respite) LIVE: Teen Time - $385 (Respite) LIVE: Teen Time - $525 (Non-Respite) LIVE: Teen Time 30 Weeks - $730 (Respite) LIVE: Tennis Hotshots - $485 (Non-Respite) LIVE: Tennis Hotshots - $400 (Respite) LIVE: 15 Week Bowling - $550 (Non-Respite) LIVE: 15 Week Bowling - $400 (Respite) LIVE: 30 Week Bowling - $750 (Respite) LIVE: Winter Break Drumming Workshop for Teens - Free NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $25 (Respite) NOT AVAILABLE!! LIVE: Independence Day Virtual Dance Party - $35 (Non-Respite)
Participation Consent Participation Consent:* The participant has permission to participate in the activities registered for on this form.
Communication Consent:* I consent to receiving emails and/or text messages about the participant listed on this form.
In the event of an emergency:* I consent to allowing the participant to be transported and treated at the nearest medical facility.
Photography Consent* I consent to photographs or videos of the participant being used for educational or SPARC promotion.
Billing Information Credit Card Transaction Fee Acknowledgement* Transaction Fee*
Price:
$0.00
Total
$0.00
Billing Name*
First
Last
Billing Address*
Billing Phone*
Billing Email*
Credit Card Parent / Guardian / Agency Signature* My signature is valid for ongoing enrollment in SPARC unless otherwise indicated.
By participating in SPARC programs, the parent/guardian of each participant and the participant agree to indemnify, release and hold harmless SPARC, its officers, directors, employees, consultants, agents (including independent contractors, if applicable), and volunteers from any and all liability or causes of action whatsoever arising out of, or which may result from such participation.
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