2025 MI - Summer Programs

Parent / Guardian Information

Use this form to sign up for Summer Programs in Troy, Michigan.
First Name*
Last Name*
Email*
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Address*

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Child's Information
Name

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Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.

Emergency Contact Information

This person(s) will be contacted in the event of an emergency but does not have authorization to pick up the child.
Emergency Contact(s)*

Individuals Other than Parent/Guardian Authorization

This person has permission to pick up your child from our program. If someone other than the parents will be picking up the child, they must be listed here.
Authorized Pick-up Person(s)

Informed Consent and Acknowledgement Waiver*
Medical Release and Authorization*
Informed Consent and Acknowledgement Waiver
Refund Policy*
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Parent/Guardian Signature*

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Please select your camp(s)

Sensory Explorers Summer Camp (Monday, Wednesdays & Fridays, July 7 - Aug. 15 | 9:00 am-12:00pmAges: 3-6 years old. A summer adventure designed specifically for children ages 3-6! Our Sensory Explorers Summer Camp, led by a certified Occupational Therapy Assistant, focuses on fostering sensory development, creativity, and social skills through engaging activities.

$480.00

Executive Explorers Summer Camp (Mondays, Wednesdays & Fridays, July 7- Aug. 15 | 1:00pm-4:00pmAges: 8-12 years old. At the Executive Explorer Development Camp, is designed to help children develop essential skills for success in school and beyond!

$720.00

Training Wheels to Trails | Beginners (Mondays & Wednesdays) | 9:30-11:30 amOur Bike Riding Summer Camp, led by a certified Physical Therapy Assistant, is the perfect opportunity for kids to learn essential biking skills and safety!

$225.00 Quantity

Training Wheels to Trails | Advanced (Mondays & Wednesdays) | 11:30am-1:00pmOur Bike Riding Summer Camp, led by a certified Physical Therapy Assistant, is the perfect opportunity for kids to learn essential biking skills and safety!

$225.00 Quantity

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Parent / Guardian Information

Child's Information

Emergency Contact Information

Individuals Other than Parent/Guardian Authorization