Hikeabilities OT, LLC
Hike & Seekers Inclusive Hiking Program
June 20, 2026- August 22, 2026
Parent/Caregiver
*
First Name
Last Name
Child
*
First Name
Last Name
Child's Age
*
Please Select
5
6
7
8
9
10
11
12
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Check all times that you are available. *Please only leave a time blank if you absolutely cannot make it.
*
9:10 AM - 10:10 AM
10:20 AM - 11:20 AM
11:30 AM - 12:30 PM
What level of supervision will your child need?
*
Please Select
I will drop them off and pick them up on time.
I will drop them off and stay at the park.
I will participate in the session with my child.
Does your child need any specialized support? If so, please describe below.
How did you learn about Hikeabilities?
*
Did someone refer your child to Hikeabilities? If so, please provide their name/email.
Hike & Seekers
*
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Full Summer Program (8 Saturdays)
You are signing your child up for the full program.
$300.00
$
300.00
June 20, 2026
$45.00
$
45.00
June 27, 2026
$45.00
$
45.00
July 11, 2026
$45.00
$
45.00
July 18, 2026
$45.00
$
45.00
July 25, 2026
$45.00
$
45.00
August 1, 2026
$45.00
$
45.00
August 15, 2026
$45.00
$
45.00
August 22, 2026
$45.00
$
45.00
Credit Card
Submit
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