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Summer Camp 2023-2024
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Summer Camp: Week 2: August 5-9, 12 and 13. 2024. 9AM - 3PM. AGES 5 - 23.
Are you a current participant?
*
Yes
No
Since you selected "no" that you are not a current participant, please complete the registration form FIRST. Once submitted, we will contact you to schedule a mandatory in-person meeting prior to attending.
Children and Teen registration 5-17
.
Adult Registration 18-22 Only
Parent/ Guardian 1 Name
*
First
Last
Parent's / Guardian 1 E-mail
*
Parent's / Guardian 1 Phone Number
*
Participant's Name
*
First
Last
Participant's Age
*
Any allergies for food sensitivity?
*
Authorized Pick Up Person 1
*
First
Last
Authorized Pick Up Person 2
*
First
Last
Is your child potty trained?
*
Yes!
Mostly, but needs reminders
No - we do not accept diapers/pull ups at this time. You will need to have your own aid attend.
Can you child be in photos?
*
Yes!
No
Will your child be accompanied by their ABA therapist? If so, we MUST have a copy of their background check PRIOR to camp starting.
*
Yes
No
Ages 5-17: We currently are filled for August 5-9. There is still limited space for August 12 and 13.
Are you interested in attending camp August 5-9? You will be added to a waiting list. Space is not a guarantee unless space opens up.
*
Yes
No
Attending ALL 7 days: August 5-9 and 12 &13 ?
*
Yes
No
Which days would you like to attend?
*
Monday: August 5: Urban Air - $60.00
Tuesday: August 6: Bird Bowl - $60.00
Wednesday: August 7: Frost Musuem - $60.00
Thursday: August 8: Art Thyme - $60.00
Friday: August 9: Game Time - $60.00
Monday: August 12: Trampoline High - $60.00
Tuesday: August 13: Sky Zone - $60.00
Which days do you want to attend?
*
Monday: August: 12: Trampoline High - $60.00
Tuesday: August 13: Sky Zone - $60.00
Are you currently on scholarship?
*
Yes
No
Scholarship Code:
Apply
Total
Order Summary
Item
Quantity
Total
There are no products selected.
Attending ALL 7 days: August 5-9 and 12 &13 ? - Yes
1
$350.00
Attending ALL 7 days: August 5-9 and 12 &13 ? - No
1
$0.00
Which days would you like to attend? - Monday: August 5: Urban Air
1
$60.00
Which days would you like to attend? - Tuesday: August 6: Bird Bowl
1
$60.00
Which days would you like to attend? - Wednesday: August 7: Frost Musuem
1
$60.00
Which days would you like to attend? - Thursday: August 8: Art Thyme
1
$60.00
Which days would you like to attend? - Friday: August 9: Game Time
1
$60.00
Which days would you like to attend? - Monday: August 12: Trampoline High
1
$60.00
Which days would you like to attend? - Tuesday: August 13: Sky Zone
1
$60.00
Which days do you want to attend? - Monday: August: 12: Trampoline High
1
$60.00
Which days do you want to attend? - Tuesday: August 13: Sky Zone
1
$60.00
Subtotal
Total
$0.00
$0.00
Stripe Credit Card
Submit
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About Us
Mission Statement
Testimonials
How to Get Involved
Staff
FAQ’s
Board of Directors
Corporate Sponsors
Pillars Society
Champion Circle
Careers
Community Outreach & Resources
Programs
Children and Teen
Adult Programs
Summer Camp Participant
Friendship Campus
Dedication Opportunities
Donor Wall Signing
Project Lifeline
Volunteer
Teen Volunteer
Adult Volunteer
Summer Volunteer
MVP- Mitzvah Project
Events
Evening of Tribute
Walking4Friendship
Heart and Soul Gala
CEU Education Course
Welcome Back BBQ
Contact
Donate
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