Outdoor Therapy Camp
Please complete the form below to register your child for our Outdoor Therapy Camp. Designed for children aged 5 and up, this program blends occupational therapy with engaging outdoor activities for a unique and enriching experience.

Camp will run from 9:00am (drop off)- 11:30am (pick up). Please plan to arrive to pick up your child no later than 11:15am. The cost of the camp is $75/day, plus we will bill a group code to your insurance. The $75/day is due upon registration in order to hold your child's spot.
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Child's full given name *
Child's date of birth *
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Date(s) your child would like to attend: *
Required
Parent/Guardian full given name *
Home Address *
City *
State *
Zip Code *
Parent/Guardian's phone number *
Parent/Guardian's email address *
Emergency contact's full given name *
Emergency contact's relationship to child *
Emergency contact's phone number *
I will be paying the camp fee ($75) via... *
By entering my full given name below, I confirm my child's registration for Outdoor Therapy Camp. I accept responsibility for the $75 registration fee and acknowledge that a group code will also be submitted to my insurance. *
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