Music Makers Camp
What is the name of your child you would like to enroll? *
Your answer
How old is your child? *
Your answer
How did you hear about Music Makers Camp? *
List the top 3 challenges for your child in social situations. *
Please feel free to elaborate, any and all info you provide is helpful for our clinicians in planning these groups.
Your answer
Your name *
Your answer
Your phone number *
Your answer
Your email *
Your answer
I understand that my place is not reserved until payment is received through the Paypal link below. *
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