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Registration Form
School Skills @Wilkerson - Summer 2023
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Locus Family Centered Therapies
We do lots of cool things! Whether your child is 4-8 y.o. or 9-12, we have a cohort to meet the needs of your family! Please choose your age range/time slot below. Thank you.
Payment Confirmation
You will need a payment confirmation number to complete this registration. The link to make payment is below. When paying a program fee,
please type the program location
in the invoice number space. Thanks!
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PAYMENTS
Come play - there's a seat for your child!
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First Name - Caregiver
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Last Name - Caregiver
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First Name - Participating Child
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Last Name - Participating Child
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Child's Age
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DD
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YYYY
Caregiver's Mobile Number
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Caregiver's Email
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Location/Time/Age Cohort
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Younger (4-8 y.o.) Wilkerson Nature Preserve - Fridays, 10:15 - 11:15 AM from June 16th to August 4th
Older (9-12 y.o.) Wilkerson Nature Preserve - Fridays, 11:30 - 12:30 AM from June 16th to August 4th
How Did You hear About the Program?
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Registration Information (check all that apply)
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Child is currently seen by a Locus practitioner
Please send me waiver forms to sign
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