Riverbend Summer Brain Camp Application
Please fill out all sections. You will be contacted with confirmation of a spot within 24 hours! Thanks.
Name of Parent - First and Last *
Your answer
Email *
Your answer
Phone Number *
Your answer
Are you open to being contacted via text message? *
Required
Name of Child - First and Last *
Your answer
Age and grade of child *
Your answer
What sessions will you attend? *
Required
Select Which Camp You want your child to attend? Please select 1 camp only for your child. *
Does your child have any of the following? *
Required
Please explain any learning issues your child is having at this time or other things you'd like us to know about their struggles in reading or writing. *
Your answer
Please describe what you'd like your child to achieve or experience during summer camp. *
Your answer
*PLEASE NOTE - FOR THIS PARTICULAR CAMP - WE CANNOT TAKE CHILDREN WITH SIGNIFICANT BEHAVIOURAL ISSUES, DISRUPTIVE BEHAVIOURS, OR MENTAL HEALTH ISSUES AT THIS TIME*
I understand that I will have to pay $$ upon arrival *
Required
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