About Us
Our Services
Summer Program 2020
Learn More
What is ABA?
Contact Us
Kids Connection Apply
Virtual Programs
Menu
About Us
Our Services
Summer Program 2020
Learn More
What is ABA?
Contact Us
Kids Connection Apply
Virtual Programs
Kids Connection:
Summer Camp and Virtual Programs.
Complete this form to learn more about our SUMMER CAMP AND VIRTUAL PROGRAMS.
*
Indicates required field
Your First Name
*
Your Last Name
*
Your Email
*
Your Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Camper Name(s)
*
Date(s) of Birth
*
School Attending
*
Public School District
*
Grade(s) Entering in Sept 2019
*
Does your child have an IEP?
*
Yes
No
Does your child have a one-to-one aide?
*
Yes
No
How did you hear about our camp?
*
Online Search
Website
Referred by family/friend
School
Referred by a professional
Church bulletin
Local Patch Article
Facebook
Other
Any other comments or questions?
*
Submit
About Us
Our Services
Summer Program 2020
Learn More
What is ABA?
Contact Us
Kids Connection Apply
Virtual Programs