S.E.A.S. the Summer - CAMP INTEREST
Want to learn more about our summer camp? Please provide your info below. We will contact you as soon as our application becomes available.
Parent / Guardian First & Last Name *
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Phone Number *
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Email Address *
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Child's First & Last Name *
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Age *
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Current Grade Level *
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School *
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Does your child have an IEP or 504 plan? *
Child's Town of Residence *
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Reason for interest in our camp? *
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Any clinical concerns or diagnoses about child (i.e., difficulty with socializing, anxiety, problems with frustration or aggression)?
Your answer
Have health insurance? If so, what kind of insurance?
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"As the parent/guardian, I would like to receive registration information for the SEAS Summer Camp."
Do you have any questions for us?
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