Camp Connect Registration Form 2021

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Location:
Kellman Brown Academy
June 28th- August 20th - 8 Weeks of Total Awesomeness!

1007 Laurel Oak Rd
Voorhees, NJ 08043
Time: 9:00-3:00
AM Care: 8:00-9:00 (additional fees listed below)
PM Care: 3:00-4:30
jodie@connectplustherapy.com

Summer camp tuition must be paid in full by June 1st to ensure your camp spot

Parent/Guardian Full Name *

Email Address *

Camper's Full Name and Age *

Camper's Date of Birth *

YYYY

Which weeks would you like to send your awesome camper? Please pick all that apply? (Must be at least 2 weeks) *

Full Summer June 28th - August 20th (8 weeks)

Week 1 - June 28th - July 2nd

Week 2 - July 6th - July 9th (no camp Monday, July 5th)

Week 3 - July 12th -July 16th

Week 4 - July 19th - July 23rd

Week 5 - July 26th - July 30th

Week 6 - August 2nd - August 6th

Week 7 - August 9th - August 13th

Week 8 - August 16th - August 20th

AM Care 8am - 9am ($5 per morning)

PM Care 3pm - 4:30pm ($10 per afternoon)

Required

Is your child attending ESY and joining us in the afternoons only? Please explain so we can accommodate your schedule.

*Camp tuition must be paid in full by May 15th to ensure your spot. For financial questions email moshe@connectplustherapy.com Please type your name below to acknowledge the below fees. *

We will be holding an inclusion program for siblings. If you have a sibling(s) that you would like to send to Camp Connect, please fill out an additional form.

Yes

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Is there anything else you would like us to know?

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