Event Registration: Back to School Emotional Wellness Camp
Dates: Saturday July 22, 2023 9am - 12p OR Monday July 24, 2023 (Please choose a specific day below)
Event Address: 103 Jonesboro Rd. Ste K McDonough GA 30253
Contact us at frontoffice@riverhavencounseling.com
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Child's Full Name *
Child's Age *
Parent Guardian(s) Full Name  *
Parent Guardian Email *
Parental Guardian Phone Number *
What day will you attend? (Please only check one) *
Required
Is there anything we should be aware of concerning your child? (allergies, medical concerns, previous mental health diagnosis etc.)
I understand that the cost is $25 per child. I will be responsible for payment upon arrival *
Required
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