Coping Skills Winter Camp

Registration Form

Contact melanie@connectionsfamilycenter.com with any questions

12 - 16 year olds welcome

Camp is January 5th & 6th from 10 AM - 3 PM

Cost: $450, half as deposit is due upon registration

Parent First Name *

Parent Last Name *

Email *

Phone *

Street Address *

City

State

Country

Postal code

Child Full Name *

Child Date of birth *

Collect Payment - Half Due to Register *

$ 450

$ 225

Other amount

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