Kindergarten Readiness Camp Registration
                                                                                   

We are so glad to have you join us!  Please fill out the information below and a member of the Pediatric Therapies team will be in touch with you regarding additional details and payment within 2 business days.


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Parent/Guardian's Name:
Child's Name:
Child's DOB:
MM
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DD
/
YYYY
Phone Number:
Email Address:
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