Home
Aspergers Parent Blog
About Us
Therapeutic Services
Preschool
Day School
Summer Camp 2012
Social Butterflies
Support Groups
Donations
Contact
My Offcail Photo Gallery
My Offcail Blog
UNUSED PAGE
Offcail Polling Page.
Hey! This is a NO Sueing Page!
Seans Blog
Monarch Academy blog
 

Registration Deadline: June 1, 2012. One week payment must be received with Registration Form to reserve your spot!

Non-refundable registration fee: $50

COST IS $150/WEEK HALF DAYS

$200/WEEK FULL DAYS

Checks Payable to:
Beyond the Spectrum, Inc.
7037 Professonial Pkway
Sarasota, FL 34240
*Visa & Mastercard are accepted.

SUMMER CAMP 2012
Child's Name:
 *
Parent's Name:
 *
Address:
 *
Phone Number:
 *
Email:
 *
DOB:
 *
Diagnosis:
 *
Emergency Contact Name & Phone Number:
 *
Preferred Hospital:
 *
Pediatrician & Phone Number:
 *
Food Allergies or Special Diet:
Please list all medications your child is taking:
Please list areas of concern and goals you have for your child:
 *
Please check the week AND day length for each week of camp enrollment
Week of 6/18/2012
1/2 day
full day
Week of 6/25/2012
1/2 day
full day
Week of 7/2/2012 (closed July 4th)
1/2 day
Full day
Week of 7/9/2012
1/2 day
Full day
Week of 7/16/2012
1/2 day
Full day
Week of 7/23/2012
1/2 day
Full day
Week of 7/30/2012
1/2 day
Full day
Week of 8/6/2012
1/2 day
Full day
Security code:
 *
Do not enter anything in this field:

* indicates a required field
Beyond The Spectrum
7037 Professional Parkway East
Sarasota, Fl 34240
Phone: 9419073443
Email: btscenter@yahoo.com