Ability 1^stUtah

2021 Summer Youth Program

June 1^st– Aug. 13^th, Thursdays and Fridays

Program agenda may change if needed. The Youth Summer Program goal is to provide a safe and enjoyable place to develop work, and independent living skills for students with disabilities.

Independent Living Youth Summer Program 2021

Youth Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Youth Cell Phone:
Parent/Guardian Name:*
First Last
Parent/Guardian Contact Number:*
Explain why you would like your youth to participate in the summer youth program. What skills would you like them to work on? What would you like them to be able to experience?
Below are some questions to help staff members better serve your youth. Information provided will be used to help us plan and organize classes. Transportation to the center will not be provided. Parents/Guardians are responsible for their youth’s transportation.
1. How comfortable is your youth with the UTA? (Answer: Yes or No)
o Able to ride the UTA alone
o Needs help?
o Able to transfer buses?
o Needs training?
o Would you like training to be provided?
2. Is your student able to recognize dollar amounts? Able to count change?
3. If your student needs a personal assistant, can you provide one?
4. Would you be able to provide transportation to and from the center?
5. Does your student have special dietary needs?
6. Does your youth have any physical limitation or needs (Answer: Yes or No)
o Requires a wheelchair or a walker?
o Is fatigued easily?
o Can go into the water?
o Will require medication to be carried on person?
o Has a history of seizures?
o Other (please explain)
7. Other comments, concerns or accommodations your student will need to participate?
Consent
I hereby give permission/agree for the person above to participate in Ability 1st Utah’s 2021 Youth Summer Program. With this fully signed permission form, I hereby release and discharge Ability 1st Utah and its employees from all liability, claims, and/or demands for property damage and personal injury which may arise from an accident or injury while attending activities in the summer program or in being transported to and from these activities
Consent*
I agree to authorize Ability 1st Utah to take and utilize photographs, videos, and/or other audio-visual materials for its use. These materials will be used for public awareness, public relations, and fundraising. I also understand that I will not be compensated monetarily or otherwise for use by Ability 1st Utah.
Consumer of legal age & status signature:*
Date of Signature*
MM slash DD slash YYYY
Parent/ Guardian print*
Parent/Guardian signature:*
Date of Signature*
MM slash DD slash YYYY
In case of an emergency I can be contacted at the following number:
If we cannot contact you at the number you provided above, who we can contact in case of an emergency:
First Last
Phone
Relationship:
Second Contact Person's Name
First Last
Phone
Relationship:
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Ability 1^stUtah 2021 Summer Youth Program

Questions and Answers

Who is the summer program designed for? Young adults between the ages of 17 to 30. They should be able to demonstrate a basic self-sufficiency or have someone from home accompany them as a personal attendant. They should independently be able to take care of their toilet, feeding, and dressing needs. They should be socially appropriate and able to function with a 1 to 5 staff to consumer ratio.
Where will the youth spend their time in the summer program? They will spend their time engaged in a combination of Life Skills classes, Pre-Employment workshops, community integration activities and community resources guidance. Some activities will be outside of Utah County.
What time of the day will the activities be held and how long will they last? Most of the activities will be on Thursday and Friday and will last for 4 hours, usually from 10:00am to 3:00pm. If the activity last longer than the hours mentioned, we will inform you. This will allow for them to get back home before or around 4:30 pm.
What about transportation to the Ability 1^stUtah Center? We promote independence and therefore transportation to the center will be provided for those who need it.
What about meals? For activities Ability 1^stUtah will provide lunch or snacks for the youth.
What kind of training will my youth receive? In addition to the social outings, the youth will receive training in the following areas: communication, organizational skills, community integration, self-care, self-advocacy, pre-employment readiness.
What kind of supervision will the youth have while at Ability 1^stUtah? There are four staff members over the whole group. Staff work in groups of 2, and we aim for a staff to consumer ratio of 1 to 5. The youth’s safety and well-being are our most important concerns.
How much does it Cost? There is no official cost of attendance, but we do ask that all parents who can donate to the center of $50, do so. This donation is used to cover a small portion of the costs of food, transportation, and activities. Donations ease up funds for ability 1^stto allow more individuals to participate, and allows us to do additional activities.

For more information

in regards of the

2021 Youth Summer Program:

Please contact:

Youth Coordinator

Taylor Peck

Direct Number: (801) 850-5566

Cell: (385) 375-1370

1455 W 820 N, Provo Utah, 84601

Facility Number: (801) 373-5044

Ability 1st Utah

2021 Summer Youth Program

Independent Living Youth Summer Program 2021

Below are some questions to help staff members better serve your youth. Information provided will be used to help us plan and organize classes. Transportation to the center will not be provided. Parents/Guardians are responsible for their youth’s transportation.

Ability 1st Utah 2021 Summer Youth Program

Questions and Answers

Ability 1^stUtah

Ability 1^stUtah 2021 Summer Youth Program