Life Ready Camp Session 2 0 spots filled out of 6 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.For kiddos ages 9-18 years old. July 14th-16th from 9am-Noon, Cost is $145 per camper. Therapist Lead ADL camp designed to help individuals develop or enhance their independence in performing everyday tasks like: dressing, grooming, snack/meal prep, laundry, and bed-making.Participant Name *FirstLastDate of Birth *Phone *Email Address *Home Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeParent/Guardian InformationParent/Guardian Name *FirstLastParent/Guardian Phone *Emergency Contact InformationNot Primary Parent Listed AboveEmergency Contact Name *FirstLastEmergency Contact Phone *Do you have any dietary restrictions, allergies, medical conditions, or communication needs we should be aware of? *Camp Cost *Price: $145.00Refund Policy *I understand that camp is non-refundable. Email Information Contact Submit Life Ready Camp Session 2 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.For kiddos ages 9-18 years old. July 14th-16th from 9am-Noon, Cost is $145 per camper. Therapist Lead ADL camp designed to help individuals develop or enhance their independence in performing everyday tasks like: dressing, grooming, snack/meal prep, laundry, and bed-making.Participant Name *FirstLastDate of Birth *Phone *Email Address *Home Address *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeParent/Guardian InformationParent/Guardian Name *FirstLastParent/Guardian Phone *Emergency Contact InformationNot Primary Parent Listed AboveEmergency Contact Name *FirstLast communication any should Emergency Contact Phone *Do you have any dietary restrictions, allergies, medical conditions, or communication needs we should be aware of? *Camp Cost *Price: $145.00Refund Policy *I understand that camp is non-refundable.Submit
