Brain Boost Summer Camp
Do you want your child to be more independent? This camp focuses on teaching strategies to support executive functions such as time management, planning, organization, sequencing, task completion, and problem-solving. Ages 7-13 Years
Child's Name
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First Name
Last Name
Child's Date of Birth
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Month
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Day
Year
Date
Parent/Guardian's Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Does your child have any food or environmental allergies? If yes, please list below.
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Does your child have any medical diagnoses? If yes, please list below.
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What do you hope you or your child will accomplish or learn from this camp?
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Session Selection (This is the session that I am registering for.)
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Session 2: July 13th-16th, 1:15-2:45
I understand that no refunds will be given after May 21st and that the tuition for this camp will not be prorated if my child misses any sessions.
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Yes, I understand.
I understand that for my child to get the most out of the camp, they should exhibit the following skills independently and on a regular basis: Focus on a task for at least 5 minutes, participate in a group setting, able to follow 1-2 step commands, and refrain from aggressive and elopement behavior.
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Yes, I understand.
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Brain Boost Summer Camp-Pay in Full
$200.00
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200.00
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