Summer Program Evaluation Registration
Thank you for your interest in our summer mental health program hosted in Colorado Springs at District 11! 

Para registrarse en español, haga clic aquí!

This program provides skill-based training and development for kids aged 6-14 at Holmes Middle School! We offer four sessions that span two weeks each. Eligible participants will be chosen based on best fit and clinical need for at least one session.

This form is HIPAA compliant and information will not be shared outside of the clinical staff associated with the summer program for registration, assessment, and referral purposes. Autosave has been disabled to protect possible confidential information. Please do not refresh or close your browser until you have completed this form or you will lose your progress!

You will be contacted with additional information including the most up-to-date registration availability and details about scheduling your assessment. If we cannot get in touch with you via phone call and subsequent email, you may lose your spot in line but you will not be removed from our process. 

Registration for each session will be finalized 7 days prior to the start date. 
THIS FORM IS ONLY FOR THE FOLLOWING SITE AND PARTNER:

SITE: HOLMES MIDDLE SCHOOL

FACILITATING PARTNER: MINDSIGHT
If you mean to choose a different site and partner, please navigate back to our school site page HERE
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