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Commercial Street Play Camp
Child's name
Guardian's name
Child's Birthday
Year
Month
Month
Day
Email
*
Phone
Choose you week :
July 15-19
July 22-26
July 29-August 2
August 6-9
August 12-16
August 19-23
How does your child communicate?
Speaking
Non-Speaking
Visuals
AAC
Gestures
Do you need Individual Support? (additional $25/h)
Yes
No
Please list any triggers
Please describe de-escalation procedure
How would you like to pay?
AFU
E-transfer/credit
Register
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