Superhero Camp 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 ages 4-5 years old. June 23-25th from 9-12 p.m. For Through therapist-led activities like role play and “rescue missions” kids will practice sensory, fine motor, gross motor and language and literacy. 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: $145.00 Phone Parent/Guardian Parent/Guardian Refund Policy *I understand that camp is non-refundable.Submit
