2020 Summer Program Inquiry Form

Inquire About ACTG's Summer Programs

Complete the form below to let us know what programs you are interested in and a staff member will contact you to further discuss participation in the program.
Contact Name:*

First NameLast Name
Contact Email:
example@example.com
Phone Number:

Area CodePhone Number
Client's Name:

First NameLast Name
Client's Age (if under 18):
Attention:
We regret to announce that our Boost-Up Plus and Social Motor Works summer camps, originally scheduled for June 22-July 10 are canceled to due health safety concerns around COVID-19. Our team is working to identify alternative dates to reschedule the camps. We apologize for any inconvenience.
Which programs are you interested in?

NDMI Intensives (individual)Advanced-Brain Intensives (individual)
Anything else you'd like to share with us?
Best time to reach you:
Best method to reach you:
How did you hear about us?
Should be Empty:

Inquire About ACTG's Summer Programs