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  • AAC Camp Registration
  • Speech-Language & Hearing Clinic

  •  
  • Online Registration for AAC Camp

    Name:

    Address:

    Address:

    City:   

    State: 

     Zip:

    Primary Phone:   Cell Phone:

    Email:

    Please select a minimum of two days per week. Registrants may register for more than one week.

    Literacy Week: June 3-6, 2013

    (Please select a minimum of 2 days per week; may attend up to 4 days.)

    Adults: 9:00 - 10:30 a.m.

      

     

    School Age: 1:30 - 3:00 p.m.

      

    Social Skills Week: June 10-13, 2013

    (Please select a minimum of 2 days per week; may attend up to 4 days.)

    Adults: 9:00 - 10:30 a.m.

      

    School Age: 1:30 - 3:00 p.m.

      

    Literacy Week: June 17-20, 2013

    (Please select a minimum of 2 days per week; may attend up to 4 days.)


    Adults: 9:00 - 10:30 a.m.

     

    School Age: 1:30 - 3:00 p.m.

      

    Social Skills Week: June 24-27, 2013

    (Please select a minimum of 2 days per week; may attend up to 4 days.)

    Adults: 9:00 - 10:30 a.m.

      

    School Age: 1:30 - 3:00 p.m.

      

    Literacy Week: July 1-3, 2013

    (Please select a minimum of 2 days per week; may attend up to 4 days.)

    Adults: 9:00 - 10:30 a.m.

      

    School Age: 1:30 - 3:00 p.m.

      

    Social Skills Week: July 8-11, 2013

    (Please select a minimum of 2 days per week; may attend up to 4 days.)

    Adults: 9:00 - 10:30 a.m.

      

    School Age: 1:30 - 3:00 p.m.

      

    Literacy Week: July 15-18, 2013

    (Please select a minimum of 2 days per week; may attend up to 4 days.)

    Adults: 9:00 - 10:30 a.m.

      

    School Age: 1:30 - 3:00 p.m.

      

     

    Snacks may be prepared in the therapy sessions. Please indicate any dietary needs or restrictions.

      

    Other information regarding dietary needs/restrictions: