Social Drama, Arts and Teamwork Camp
Winter Break Camp Registration
Is your 3rd to 6th grader free during Winter Break? Would your child enjoy fun activities that will help boost confidence? This camp will utilize humorous role plays, short form improv, video modeling, art, games and teamwork activities to help increase self esteem and social skills.
Information
Winter Break January 3-6, 2023/ 9am-11:30 am Cost: $385/$25 non-refundable registration fee Register by 12/27/22 Participation of 12 or more must be met otherwise program will be cancelled. Parents will see a performance to showcase our work on Friday January 6th at 11:15 am. This is an educational program, and thus not billable to insurance. Camp is hosted by CORE Connection.
Name of participant
First Name
Last Name
Name of Parent(s)/Legal Guardian
First Name
Last Name
Parents Mobile Phone Number
Please enter a valid phone number.
Parent's/Guardian's Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact:
First Name
Last Name
Emergency Contact Phone number:
Please enter a valid phone number.
Participants Grade
Please Select
3rd
4th
5th
6th
Participant's Age
School Name and District
Please share any learning differences your child has that will help us know how to work best with your child? (ASD, ADHD, Anxiety, SPD, sensory needs etc.)
Medical Conditions for us to be aware of (allergies, seizures, asthma, etc.):
What are your child's strengths?
What would you like for your child to work on or gain from their participation?
Registration Payments: If balance is paid by check on or before the first day of the program, there will be a $10 discount. Checks should be made payable to CORE Connection.
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Non-Refundable Registration Fee
$
25.00
Pay Registration in Full
$
385.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Refund Policy:
Payment and Refund Policy: A non-refundable pre-registration fee of $25 will be collected at time of registration, and the remainder of $360 will be collected one week before Social Drama, Arts and Teamwork Camp begins. In case of cancellation of the program, the fees collected will be refunded.
For questions about the camp, please contact Shawn Amador.
630-524-4000 or Shawn@coreconnectioncc.com
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