NeuroQuest Camp Interest Form

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Thank you for your interest in NeuroQuest's Summer Camp! Please fill out the interest form if you'd like to be notified once registration opens. This form will help us tailor the camp to the needs of your child!

Dates of Camp: June 2-12, Monday-Thursday.

Full Day Available: 9 a.m. - 2:30 p.m.
Half Day Available: 9 a.m. -12:30 p.m. or 11:30 a.m. -2:30 p.m.

Book as little or as many days as you'd like!

Parent/Guardian First Name *

Parent/Guardian Last Name *

Email *

Phone number *

What age range is your child? (if more than one child, please fill out a separate interest form for each child) *

What days are you interested in attending camp? (check all that apply) *

Mondays

Tuesdays

Wednesdays

Thursdays

Required

Are you interested in half or full days? *

Full Days, 9-2:30

Half Days, 9-12:30

Half Days, 11:30-2:30

Required

Of these offerings, what would most entice your child's engagement? (check all that apply) *

STEM (including coding, robotics, game development, gaming - Minecraf/Roblox, 3D Design & Print, etc.)

Strategy games/board games/cards/puzzles

Arts - music, painting, ceramics, crafting, digital design, fashion, etc.

Building/constructing/deconstructing

Theatre and/or Music (singing, playing an instrument, performing, etc.)

Learning Sign Language

Gardening/Outdoor Play/Water Play

Learning about and interacting with animals

Other:

Required

Is your child capable of attending classes and programs indepedently or will they have an aide/parent with them? *

Yes, my child can attend independently.

No, my child will have an aide or parent/guardian attending with them.

Other:

On a scale of 1-5, how do you feel about your child participating in and learning through esports/gameschooling? *

Not supportive/anti-screens

Very supportive/open to learning

Anything in particular you want to share about your child or what you're looking for? *

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