Resources for Parents

Summer Adventure

Clarke's Summer Programs are especially designed for children with hearing loss. Activities are led by experienced teachers of the deaf and encourage leadership and independence, while enhancing listening, communication and social skills. Children enjoy field trips, recreation, arts and crafts, hiking, swimming, and more!

Summer Adventure 2013

July 14 – 26, 2013
Ages 9-14
Located at the Williston Northampton School in Easthampton, Massachusetts
Program cost, including lodging and meals: $1,200 (day rate is $700).

Clarke’s Summer Adventure is a two-week summer program for children ages 9 - 14 who are deaf and hard of hearing. Held in Easthampton, Massachusetts, Summer Adventure offers participants the opportunity to interact with other children with hearing loss from all over the country, make new friends and have lots of fun! This program is designed for children with hearing loss who communicate using listening and spoken language. You can see a sample of daily activities here.

Interested in our 2013 programs? Please contact Martha deHahn at 413.587.7387 for more information.

Applicant Information

First Name*

Last Name*

Age

Date of Birth

Sex

Address*

City*

U.S. State

ZIP Code*

Country*

Parent Information

Parent(s)

Main Contact Email*

Parent 1 Name*

Parent 1 main phone number*

Parent 2 Name

Parent 2 main phone number

Educational & Summer Program Information

What school do you attend?

What grade are you in?

Type of school program

Other

Have you attended the Clarke Summer Program before?

How did you hear about the Clarke Summer Program?

Why are you interested in attending this program?

Tell us about other summer programs you may have attended in the past:

Residential

Day

With hearing-impaired children

With hearing children

For how many years?

Briefly describe

Hearing and Communication Information

Please tell us about your hearing loss:

Profound (90 dB - 120 dB)

Severe (60 dB - 90 dB)

Moderate (30 dB - 60 dB)

Mild (10 dB - 30 dB)

Do you wear hearing aid(s)?

Do you have a cochlear implant?

How good are your auditory/oral communication skills? Select one answer in each section.

Listening?

Speech?

Other than a hearing loss, do you have any other special needs?

Do you have any health or medical problems that would limit your participation in the sports and recreation portion of the program?

If you answered yes to either of the above two (2) questions, please explain

Do you take medication?

If yes, please list

Payment Information

The total cost of the program is $1,200 (day rate is $700).

Are you applying for:

NOTE: The start/end times for the Day Program are tentatively scheduled for 8:30 am to 4:00 pm. These times are subject to change. Please call Martha deHahn at 413.587.7387 for more information.

A $100 deposit is required with this application. This deposit is applied to the tuition if the child is accepted. If a child is unable to attend our program, a full refund is made if we are notified in writing of his/her withdrawal at least four weeks prior to the starting date.

You can make this $100 deposit by CHECK or by CREDIT CARD or PAYPAL.

If child is accepted, the full balance is due by July 1, 2013.

Payment Method*

Comments or Questions?

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Clarke Schools for Hearing and Speech

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Resources for Parents

Summer Adventure

Summer Adventure 2013