Camp Akili For over 30 years, Flourish Agenda has been at the forefront of healing and provided transformative learning and development experiences for Black youth and youth of color throughout California, in its program, Camp Akili. Camp Akili creates a safe and supportive space to confront complex and personal issues (i.e., community violence, depression, and self-hatred) and their impact on individuals and communities, while deepening an appreciation for themselves and their communities. Camp Akili uses healing centered practices to guide intense discussions and experiential workshops to explore self- and racial esteem and healing practices. Critical thinking, cultural pride, and social responsibility are collective goals to promote healing and personal transformation. The overall impact of these experiences, combined with intensive relationship building with peers and supportive adults, results in violence prevention and individual and community well-being. One camper summed up her experience: “When I first came, I was shy and kinda scared to come out of my comfort zone, but now I feel 100% more comfortable with my race and who I am as a person.” Another camper reflected that Camp, “Allows me to come back to myself, whole.” Camp is BACK! We are excited to announce that Camp Akili for youth ages 14-18 will be back serving young people from Oakland on June 6-9, 2023. This will be a 3.5 day, overnight experience located at Black Mountain Retreat Center (address: 23125 Fort Ross Rd, Cazadero, CA 95421). If you would like to participate in Camp Akili Oakland - please complete this application: Camp Akili Oakland For general information about Camp Akili Oakland please visit the FAQ’s HERE. Applications are due Wednesday, March 29th, 2023! Register Now! REGISTRATION FORM AND PROCESSPlease complete this form to register everyone in your household for the Akili Family Camp.YOUTH SECTIONYouth Participant Name Birth Date Cell Phone Emergency Contact Email Actions Edit Delete There are no Participants. Add Participant Maximum number of participants reached. CAREGIVER / PARENT SECTIONPlease answer the questions below regarding all of the caregivers that will be participating in Family Camp. Caregivers can consist of any adults in the home that are responsible for taking care of the youth that reside with them. Caregiver A - Name(Required) First Last Caregiver A - Race(Required)Please select all of the racial groups you identify with Black African Black African American Indigenous/Native American European/Caucasian Latinx/Hispanic Asian Native Hawaiin or Pacific Islander Black Afro-Caribbean Afro-LatinX Middle Eastern Other Caregiver A - Cell Phone Number(Required)Caregiver A - Email Address(Required) Enter Email Confirm Email Caregiver A - What is your relationship to child(ren) attending Akili Family Camp(Required) Caregiver B - Name First Last Caregiver B - RacePlease select all of the racial groups you identify with Black African Black African American Indigenous/Native American European/Caucasian Latinx/Hispanic Asian Native Hawaiin or Pacific Islander Black Afro-Caribbean Afro-LatinX Middle Eastern Other Caregiver B - Cell Phone NumberCaregiver B - Email Address Caregiver B - What is your relationship to child(ren) attending Akili Family Camp? Family Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CAREGIVERS, PLEASE ANSWER THE FOLLOWING QUESTIONS TOGETHERIf there is more than one caregiver registering for Family Camp, please include both of your responses in open spaces where provided below.Has any member of your family ever experienced any of the following programs affiliated with Flourish Agenda?(Required) Oakland Freedom School Camp Akili Akili Family Camp Caregivers Retreat West Oakland Initiative None of the above COVID-19 Vaccination and Testing(Required)In accordance with Alameda County COVID regulations, Akili Family Camp is planned to be fully in person. We will be following social distancing and safety guidelines in efforts to keep everyone safe. As such, it's very important for us to ensure vaccination or COVID-19 testing status prior to camp. Are you willing to provide vaccination information or confirmation of a negative COVID-19 test? If you need further assistance or support, please also note that below. The COVID-19 pandemic has impacted us all and continues to have lasting effects. Are there any family dyanamics or family events within the context of COVID-19 that we should mindful of when working with your child?Does your child have any allergies, use any medications and/or have mental health elements we should be mindful?(Required)This can include food or general allergies, medical or psychotropic medications, diagnosed mental health disorders or general symptoms that you feel daily that are not formally diagnosed by a medical/mental health professional. CONTRIBUTION / FEE SECTIONFlourish’s value is that every student who would like to participate is able to regardless of financial situation. We ask that families which are able, to pay the contribution fee of $350 in order for their student to attend camp. If you are able to contribute a smaller amount, there is an option for that as well. If you are unable to contribute, please complete the scholarship form. Financial Situation(Required)My family is able to contribute the full fee of $350I am able/My family is able to make some contributionI would like to apply for a scholarship to attendMy family is able to contribute the full fee of $350 Full Payment - $350.00 5 Monthly Installment Payments - $70.00 I am able/My family is able to make a contribution of $300 $200 $100 $50 $25 Other amount Contribution Amount(Required) Credit Card Information(Required)Card Details Cardholder Name Total to be Paid Now Total to be Paid Monthly SCHOLARSHIP QUESTIONSThank you for your interest in Camp Akili! Please take a few moments to fill out the scholarship information: Do you qualify for free or reduced lunch at school?(Required) Yes No NameThis field is for validation purposes and should be left unchanged.