Summer Reading Enrichment Camp Registration Form 
Registration Ends on Friday, May 19th, 2023

'Register Now' to secure your child's spot. 
Each session will be limited to a maximum of 10 students. 

A 50% tuition deposit will be required at the end of registration to hold your child's seat.
This form must be completed in full to register your child(ren) for camp.

*This registration form is secure, and all of your information will be kept confidential*
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Child's Name *
Child's Birthdate
Child's Age *
Parent/Guardian Full Name *
Phone Number *
Email Address *
Emergency Name/Phone Number *
Child's Physical/Dietary Restrictions *
Child's Allergies *
Child's Current School *

How I heard about the program:  

My child is registering for the following session: 

Please note the following Policies and Procedures:

A. Payment for Camp:

A 50% tuition deposit will be required at the time of registration in the amount of $536. The remaining 50% ($536) will be charged the first day your child attends camp.

B. Eloquent Speech and Language Therapy Refund Policy

Before May 5th, families are permitted to make the following changes without incurring a fee: 

1. change the session of attendance, 2. receive a refund 

 After May 5th, families are permitted to make the following changes with a $100 fee: 

1. change the session of attendance

Notices must be emailed to with SREC (Summer Reading Enrichment Camp) in the subject line.

No refunds will be made past May 5th, 2023.

Refunds will not be issued for non-attendance. There are no refunds for missed days due to changed work or vacation schedules, illness, or other non-emergency reasons. We do not offer proration of fees. If Eloquent Speech and Language Therapy finds it necessary to unregister a child, a refund will be issued after deduction for days already attended. No full refunds will be issued.
Refunds are electronically credited to the credit card used for payment of the registration fee.

C. Pick Up and Drop Off

Camp will be held at Capital Preparatory, 2811 Industrial Plaza Dr. Tallahassee, FL 32301. Participants will be met by their Instructor, Asia Hutchins, M.S. CCC-SLP. Please be prepared to drop your child(ren) off on time and pick them up promptly at the end of the camp day (8:30am-11:30am). Pick up that occurs more than 5 minutes late will receive a late notice on the first occurrence. Second occurrence will result in a late fee of $1/minute past end of session. Third occurrence will result in dismissal from camp without reimbursement.  


The following adults are authorized to pick my child up from camp:


The following people may be contacted in case of an emergency (include their full names and cell phone numbers):





I hereby give permission for my child to participate in the Eloquent Speech and Language Therapy Summer Reading Enrichment camp. My signature confirms that the information provided is accurate, that I have read and understand the Policies and Procedures of the program, and that it is my responsibility to keep my child’s information current. I understand that participation in the entirety of camp (Monday-Thursday for 4 weeks) is required.
Electronic Signature of Parent/Guardian and Date
Your child's registration is not complete until a 50% deposit amount of $536 is made. The remaining 50% ($536) will be charged the first day your child attends camp.

Please pay securely at the following PayPal link for Eloquent Speech and Language Therapy, LLC:

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