Super Mario Summer Camp

Super Mario Summer Camp Registration

Behavioral Health Summer Camp
Parent/Guardian First Name*   Parent/Guardian Last Name*
Parent/Guardian Email*
Parent/Guardian Phone Number*
Is Camper a..*

TVP PatientTVUSD StudentNone of the above
If you have a promo code, enter below
How did you hear about Summer Camp?*
Camper First Name*   Camper Last Name*
Camper DOB*
Can camper read and write on a basic level?*
Can camper be away from family for 4 hours at a time?*
Does camper have any current mental or physical health limitations or diagnoses we should be aware of?*
Does camper have any life threatening medical conditions (allergies, diabetes, etc)?*
Is camper able to follow verbal and written directions?*
Does the camper have an IEP or 504 that we should know about to accommodate learning styles?*
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Super Mario Summer Camp Registration