WRTS Summer Camp Pre-Registration

WRTS Summer Camp Pre-Registration
Welcome to We Rock the Spectrum Franklin Park's Camp Pre-registration page. Thank you for your interest in our summer camp programs. Please use this questionaire to tell us about your prospective camper(s) and what kind of schedule you are looking for. We'll review this information and work with you to set up the most effortless booking process for your needs.
Child Information
Child 1 Name

First NameLast Name
Child 1 Gender
Child 1 Birthdate

MonthDayYear
Child 1 Current School
Is your child bathroom independent?
Does your child communicate verbally?
Child 2 Name

First NameLast Name
Child 2 Gender
Child 2 Birthdate

MonthDayYear
Child 2 Current School
Is your child bathroom independent?
Does your child communicate verbally?
Do you have additional campers? Just let us know by selecting the MORE option:
Need to add MORE campers?
Has your child(ren) visited the gym before?
Which camp weeks are you interested in having your child attend?
Which Sessions are you interested in:
Which Days Are You Interested In
Are you interested in a hot lunch for your camper(s)?
Does you child(ren) have an IEP?
Does you child(ren) have an BIP?
Does the child have any medical conditions, or require special support? If yes, please describe.
How did you hear about us? Who referred you?
Parent / Guardian Contact Information
Name

First NameLast Name
Relationship
Phone / Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Should be Empty:

Child Information