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Social Language Summer Program Online Application
To avoid disappointment, reserve your child’s space early, space is limited! Fill out the form below and submit. We will contact you to set up a screening. A copy of your responses will be emailed to you.
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Capital Speech & Language Therapy Social Language Summer Program
Address: 4301 Garden City Dr. Suite 207, Hyattsville, MD 20785
Hours: Monday - Friday 9 am - 2pm (Closed July 5th for 4th of July Holiday)
Child's Name
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Child's Birthdate
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YYYY
Child's Age
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Address
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Parent 1: Name
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Parent 1: Phone Number
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Parent 2: Name
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Parent 2: Phone Number
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Email Address
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Select Session(s) Pricing: $650/week
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Session 1: June 21- June 25
Session 2: June 28 - July 02
Session 3: July o6 - July 09* ($525/week)
Session 4: July 12 - July 16
Session 5: August 02 - August 06
Session 6: August 09 - August 13
Required
Contact Us
Email Us:
csltc2018@gmail.com
Phone: 240-623-0325
Visit us:
https://www.capitalspeechandlanguagetherapy.com/
A copy of your responses will be emailed to the address you provided.
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