Literacy GAME ON! Summer '24 Camp Registration for students entering 2nd- 5th 
Complete this form to save a spot in our summer program!1 week Literacy Summer Camp 2024  
June 10-14th/ M-F 8:30-10 am. 
That's 10 hours of instruction  with a Certified Academic Language Therapist (CALT) for $175 total!  

After you fill out this order request, we will email you an invoice. Total for one camp is $175 due by the first day of camp. Nonrefundable deposit of $75 is due to secure your spot in the camp. Sessions are limited to 6 students. If you have any questions, please email us at txcetllc@gmail.com
More information about the camps can be found at www.txcet.com
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Email *
Name of camp
Camper's Name: *
Camper's Age, Grade (going into), School *
Age:                                   Grade:                                                     School:
Parent's Name,  Cell Number *
Parent Name:                                                          Contact Number:                                             
How did you hear about our camp? *
Required
Does your child have any special needs we need to be aware of? *
If yes, what is the diagnosis and what accommodations are needed?
Contact info in case of an emergency? *
Any food allergies?  (A snack will be provided during camp) *
Would like more information about an evaluation for you, your child, or another family member? If yes, in what areas? *
Required
Preferred contact method *
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Any other information you would like us to know? *
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