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Great Expressions Summer Camp Registration 2020
Thank you for your interest in Great Expressions Summer Camp. You will be emailed a confirmation and camp intake form upon completion.
Email address *
Child's Name: *
First, Last
Child's Age *
Parent Name: *
First,Last
Best Contact Number *
Description of your child's speech and language needs: *
Funding Source : *
County Contact Information (if applicable):
County case coordinator or other funding source contact information
Session Preference: *
*PreKindergarten groups are made based on child's needs and parent preference*
Session Attendance: *
Questions:
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