Summer Group Registration Form Parent Name Email Phone Number Participant's Name Birthdate: Select an age group: Babies & ToddlersEarly ElementaryLate ElementaryMiddle SchoolHigh School/Adult Please Select A GroupBaby Talk (sign) Session 1 - $160Baby Talk (sign) Session 2 - $160Learn to Play Session 1 - $160Learn to Play Session 2 - $160Storytime for Kids Session 1 - $160Storytime for Kids Session 2 - $160 Please Select A GroupChill Skills - Grades K-2 - $200Fine Motor Without Fears - $240Fun With Letters, Sounds and Beginning to Read Sesson 1 - $160Fun With Letters, Sounds and Beginning to Read Sesson 2 - $160Fun With Words - $240Storybook Stem - $175Super Fun Math Camp - $175 Please Select A GroupChill Skills Group - Grades 3-5 - $200Internet Safety for Elementary Students - $200Science Investigators - $175Social Games Session 1 - $200Social Games Session 2 - $200Young Entrepreneurs - $175 Please Select A GroupOnline Social Connections - $240 Please Select A GroupNavigating Social Skills in the Community - $240 Do you have any concerns regarding your child's development? YesNo If yes, does your child currently receive any services? YesNo Please Explain (optional)