Program Registration - Summer 2026

About the Parent/Guardian

First name *

Email address *

Relationship to the Participant *

Last name *

Phone number *

How did you hear about IFG? *

About the Program Participant

Participant First Name *

Date of Birth (MM/DD/YYYY) *

Participant Last Name *

County *

Disability Status *

Which Program(s) Do You Want to Register For? (Hold Control (Ctrl) to Select Multiple Options) *

Full Day or Half Day? *

Full Day, 9am-3pm [Lunch at Ursinus Dining Hall Included]

Half Day, 9am-12pm

Has the participant ever worked or volunteered before? *

Yes

No

What are the participant's hobbies, skills, and/or interests? *

Does the participant need any accommodations to make their participation a success? *

Does the participant have any allergies or dietary restrictions? If yes, please share. *

Emergency Contact

First name *

Relationship to the Participant *

Last name *

Phone number *

Payment Method

Please confirm below how you plan to pay for the Integrate for Good Summer Program. After your application is processed a team member will be in contact for payment to complete the registration.

If selecting Waiver Goods and Services, funding must be approved by your Support Coordinator before program acceptance.

If you are selecting School District Funding it must be approved by your district before program acceptance.

Payment Method *

Waiver Goods and Services

School District

Partial Scholarship Consideration

Private Pay

Integrate for Good has limited scholarships available. Scholarships are decided on a case by case basis and cannot be combined with other promotions. All requests for consideration must be made by May 15, 2026.

Our scholarship program is based on eligibility and funding availability.

Scholarship *

Yes, we would like to be considered for a partial scholarship.

No, I will pay in full or through Waiver Goods or School District..

Summer Registration Incentives

Early Bird Offer:
Register by May 15, 2026 and receive an Integrate for Good water bottle!

Multiple Week Discounts:
Register for 3+ weeks and receive $50 off your total registration.
Register for all 6 weeks and receive $100 off your total registrations

The following questions will help determine potential funding availability.

High School Diploma *

Yes, I have a diploma.

No, but I am currently enrolled in high school.

No, I did not receive a diploma and I am not currently enrolled in high school.

Where did you graduate high school? *

Where are you currently enrolled for high school? *

Do you have a support coordinator through your county? *

Yes

No

I don't know.

Anything else you would like our team to know about or discuss further? *

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