Camp Registration

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Camp Registration Form

* Indicates required field

Child's Name *

First

Last

Child's Age *

Please answer the following questions. 1. How does your child communicate with you? 2. Does your child demonstrate aggressive behavior toward themselves or others? 3. Can they attend camp independently? *

What session/s are you interested in? Choose as many as you want. *

Week 1 July 10-13 Week 2 July 17-20 Week 3 July 24-27 Week 4 July 31-August 3

Parent/s name/s, Email, Phone number *

Submit

YOUR CART

Camp Registration Form

Camp Registration Form