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KUBO STEM Pioneers SUMMER CAMPS Program Application
Thank you for your interest in our STEM programs! Please fill out the application below and we will contact you soon regarding more information or to help finalize your registration to the program that fits your child's interests and needs best.
Please note our Summer Camp Schedule:
JULY CAMPS:
Week 1:
July 7 & July 9 (M & W): 1:00 pm - 2:30 pm
Week 2:
July 14 & July 16 (M & W): 1:00 pm - 2:30 pm
AUGUST CAMPS:
Week 1:
August 6 & August 8 (
W & F
): 1:00 pm - 2:30 pm
Week 2:
August 11 & August 13(M & W): 1:00 pm - 2:30 pm
Week 3:
August 18 & August 20 (M & W): 1:00 pm - 2:30 pm
Week 4:
August 25 & August 27 (M & W): 1:00 pm - 2:30 pm
*If you would like to only sign up for specific dates within July and August, please add that request in the additional comment/question section below
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* Indicates required question
Email
*
Your email
Parent's Name
*
Your answer
Child's Name & Pronouns
*
Your answer
Child's Age
*
Your answer
Is your child able to follow 1-step directions?
*
Yes
No
Maybe
Can your child communicate vocally or with AAC device (ask for wants/needs, respond yes/no, short phrases)?
*
Yes
No
Maybe
Is your child independent in a variety of self-help routines (e.g., toileting, dressing)?
*
Yes
No
Maybe
Does your child engage in any high risk aggression/self-injurious behaviours or is a flight risk?
*
Yes
No
Maybe
What are your child's interests? (E.g., interested in Minecraft, LEGO, etc.)
*
Your answer
What are their social goals? (E.g., collaborative group work, initiating social connections, maintaining friendships, finding other peers with similar interests to connect with, etc.)
*
Your answer
Is there any other information you would like to share regarding your child?
*
Your answer
For
JULY
WEEKLY CAMPS - which weeks would you like to apply for?
*
WEEK 1: July 7 & July 9 (M & W): 1:00 pm - 2:30 pm
WEEK 2: July 14 & July 16 (M & W): 1:00 pm - 2:30 pm
N/A
Required
For
AUGUST
WEEKLY CAMPS - which weeks would you like to apply for?
*
WEEK 1: August 6 & August 8 (WED & FRI): 1:00 pm - 2:30 pm
WEEK 2: August 11 & August 13(MON & WED): 1:00 pm - 2:30 pm
WEEK 3: August 18 & August 20 (MON & WED): 1:00 pm - 2:30 pm
WEEK 4: August 25 & August 27 (MON & WED): 1:00 pm - 2:30 pm
N/A
Required
Would your child benefit from 1:1 or 1:2 support?
*
1:1 support
1:2 support
Would you like to register a sibling? (40% off camp fees for all siblings)
*
Yes
No
Do you have any other comments or questions for our team?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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