Park Cities Speech – 2020 Summer Camp Registration

Park Cities Speech 2020 Summer Camp

Registration Form

Please note that the following form is in testing. Do not attempt to pay with the Pay Now button.

Email address

Child's Name

Child's Birthdate

Child's Grade

Address

Mom's Cell

Dad's Cell

Camp Title

Camp Date

Alternative Camp Date (We will contact you before assuming placement in camp.)

May we contact your child's current teacher to gather information that may help us develop an appropriate program for your child? If so, please provide an email address.

Snacks such as goldfish, crackers aand fruit will be offered. Does your child have any food allergies?

Please create a password for carpool pick up. Share the password with us, your child and any adult authorized to pick up your child from camp.