What is the name and age of your child/children? *
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How did you hear about us? *
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Does your child have any speech, hearing or visual impairments? *
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Does your child have any medical conditions which we should be made aware of? *
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Would there be any restrictions to play or activities? *
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Is your child potty trained? *
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Does your child have experience playing with other children? *
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T-shirt size (in youth sizes) *
How many days a week is your child planning to attend?
If you are planning different days depending on the weeks please let us know on the last question of this form.
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What weeks are you interested in your child attending? Camp is from 9am-4pm ( If you sign up for multiple weeks, you will receive $10 off each additional week) *
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Are there any other comments or information you would like to let us know about? *
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