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2024 Safety Town - Special Needs Planning Form
Every child is unique and sometimes they need a little extra help to have a successful experience at camp. Please share whatever you think will help us support your child's camp this summer.
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* Indicates required question
My child is attending Safety Town the following session:
*
June 24 - June 28
July 8 - July 12
July 15 - July 19
July 22 - July 26
Required
Child's Full Name
*
Your answer
Child's Birthdate
*
MM
/
DD
/
YYYY
Parent/Guardian Name
*
Your answer
Best Phone Number
*
Your answer
Best Email Address
*
Your answer
Does your child have an IEP or a 504 plan?
*
Yes
No
Does your child currently have an assigned TA?
*
Yes
No
Would you like to request a TA for your child?
*
Yes
No
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