2026 MJ Camp Chatters Application
Basic Information
Your Name
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First Name
Last Name
Child's Name
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First Name
Last Name
Child's Birthday
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-
Month
-
Day
Year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Can we send text messages to the phone number listed above?
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Yes
No
Email
*
example@example.com
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How does your child currently communicate?
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Full sentences
2-3 word phrases
One word verbalizations
Speech generating device (e.g. TouchChat, LAMP, Proloquo)
Sign Language
PECS
Other
Does your child receive private speech and language services?
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Yes
No
Name of facility where speech and language services are provided
Does your child receive ABA services?
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Yes
No
Name of facility where ABA services provided
To help us create the best group experience for your child, please check any behaviors that would be helpful for us to consider.
May use physical behaviors to self or others (e.g., hitting, pushing, biting) when upset or frustrated
May yell or scream when upset or overwhelmed
May have frequent emotional outbursts when frustrated
May leave the group area without telling an adult
Does your child have any medical diagnoses?
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Yes
No
If so, what are the medical diagnoses?
Is your child potty trained? If your child is not potty trained, parent will need to be easily contacted for a diaper change during group sessions.
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Yes
No
Does your child have any food allergies or sensitivities?
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Yes
No
If so, please be specific in regard to allergies and/or sensitivities.
Is there any additional information that would be beneficial for us to know?
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MJ Camp Program Selection
All groups are supported by a Speech and Language Pathologist. Please note that space is limited for each group session. Register by 3/30 for $25 off of total price. To reserve your child's spot, a non-refundable 50% deposit is due at the time of registration. The remaining balance is due by May 30 for June and July camps and July 1st for August camps.
Would you prefer to receive requests for payment via email or text message?
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Email
Text
Signature
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AAC Communication Builders Camp
This camp is for children who have a speech generating device and want more socialization opportunities with peers while using the device. All ages are welcome. This will be an intensive camp for 2.5 hours per day across 4 consecutive days. The cost will be $650.
AAC Communication Builders Camp
Collingswood Location: June 22-25, 9:00-11:30 am. All Ages.
Swedesboro Location: June 22-25, 9:00-11:30 am. All Ages
Name of AAC Device/App
Skill level with communication device
Beginner
Intermediate
Advanced
Social Connection Camp
This group will focus on language and socialization skills with peers for children ages 5-8. This will be an intensive camp for 2 hours per day across 4 consecutive days. The cost will be $425.
Summer Social Communication Camp
Marlton Location: June 22-25, 10:00-12:00 pm. Ages 5-8
Collingswood Location: August 10-13 10:00-12:00 pm. Ages 5-8
Apraxia AllStars Camp
This camp is for children ages 3 and up with apraxia of speech or speech sound difficulties who would benefit from extra support building clear, confident communication. Our goal is to provide a fun, supportive environment where children can practice sounds, words, and short phrases through engaging, play-based activities designed specifically for motor speech development. This will be an intensive camp for 2.5 hours per day across 4 consecutive days. The cost will be $550.
Apraxia All Stars Camp
Marlton Location: August 3-6, 9:00-11:30 am. Ages 3+
Kindergarten Kickstart Group
This camp is designed for children ages 4–6 who are getting ready for kindergarten and would benefit from extra support with early academic concepts and social skills. This camp focuses on building confidence in foundational skills such as letter recognition, early phonological awareness, number concepts, following directions, and participating in structured group activities. The cost will be $300.
Kindergarten Kickstart Grop
Marlton Location: Mondays, July 13, 20, 27, & August 3, 10:00-11:30 am. Ages 4-6
Swedesboro Location: August 17-20, 9:00-10:30 am. Ages 4-6.
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