Group Registration

Group Registration Form

Child's Name(Required)

First Last

Child's Date of Birth(Required)

Additional Child's Name (if registering a second participant)

First Last

Additional Child's Date of Birth (if registering a second participant)

Parent or Guardian's Name(Required)

First Last

Phone(Required)

Email(Required)

June Farm Group Selection

ALL sessions: Tuesdays 4-5 pm (6/4 to 6/25)

3 or fewer sessions: Tuesdays 4-5 pm (6/4 to 6/25)

Sign up for single sessions at $30 per session for regular participants and $20 per session for peer mentors. Sign up for all 4 weekly sessions for a discounted rate of $25 per session for regular participants ($125 total). 4 weekly sessions for peer mentors is $15 per session ($75 total).

Theatre Camp June 2024

5/29/24-6/1/24, 10 am-12 pm

Regular participation is $50 per day ($200 total). Peer mentor participation is $40 per day ($160 total).

Group Registration Form

Counseling

Occupational Therapy

Contact

Group Registration Form

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Counseling

Occupational Therapy

Contact