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Summer Groups 2023 Interest List
Please fill out one form per child.
* Indicates required question
Email
*
Record my email address with my response
Name of Child
*
Your answer
Birth date
*
MM
/
DD
/
YYYY
Is your child a current client at Whole Child Therapy?
*
Yes.
No. I am willing to attend a free Zoom screening to determine what group(s) would be best for my child.
If your child is a current client, please list the name(s) of their therapist(s).
Your answer
Parent Name
*
Your answer
Phone Number to call or text
*
Your answer
Summer Groups 2023
Please indicate which summer groups you are interested in enrolling your child in. This only indicates your indicates your interest in the group and is not a commitment to attend.
Write On! Handwriting Group
This group is designed for ages 7 to 11. June 19 to July 12. 8 sessions from 9:30 am to 11:30 am on Mondays and Wednesdays for 4 weeks. Registration fee is $480.
*
Yes, please add me on the interest list.
Please contact me with more information regarding this group.
Not interested in this group for my child at this time.
Social Sparks - Social Skills Group
There will be two groups, one for ages 7 to 10 on Tuesdays, and for ages 11 to 15 on Thursdays from 9:30 to 11:30 am.
This group will run for 4 weeks, from June 19 to July 12. Registration fee is $280.
*
Yes, please add me on the interest list.
Please contact me with more information regarding this group.
Not interested in this group for my child at this time.
Summer Kindergarten Kickstart
This one week camp is for ages 4 to 5 from from 9:30 to 11:30 am on the week of
July 17th. Registration fee is $380.
*
Yes, please add me on the interest list.
Please contact me with more information regarding this group.
Not interested in this group for my child at this time.
Play Pals Toddler Summer Camp
This one week camp is for ages 4 to 5 from from 9:30 to 11:30 am on the week of
July 24th. Registration fee is $380.
*
Yes, please add me on the interest list.
Please contact me with more information regarding this group.
Not interested in this group for my child at this time.
Do you have any questions for us or information that you would like to share?
Your answer
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