your camp registration indicated that you are not interested in a free Occupational therapy screening - no problem.

please provide some basic information about your child below to help us meet the needs of the campers.

Child's Name

First Name

Last Name

Child's Date of Birth

MM

DD

YYYY

Please list any diagnoses your child has

Having a diagnosis is not a requirement for camp attendance, and does not affect their registration status in any way. This information is used by the therapist so that appropriate activities can be planned for all children

My child has difficulties in the following areas:

Fine Motor

Visual Motor

Gross Motor

Sensory Processing

Not sure

No difficulties

My child receives OT services for the items checked above

Yes

No

Has in the past

If you have any additional concerns or require special accomadations, please describe below

your camp registration indicated that you are not interested in a free Occupational therapy screening - no problem.

please provide some basic information about your child below to help us meet the needs of the campers.

Contact Information:

Service Areas: