Camp RISE

Pediatric Therapy Center

June 19-23: SUPERHERO WEEK

June 12-16: UNDER THE SEA WEEK

Parent/Caregiver Name: *

Calvary Baptist Church

Child's Date of Birth: *

Safety Concerns: (e.g., running away, biting, hitting, hurting self/others) *

Recreational, Inclusive, Summer Enrichment

Camp R.I.S.E.

Partnering with

June 26-30: CAMPING/NATURE

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Email: *

Phone *

Register your child's information today. A team member will call to speak to you about Camp RISE and collect payment by telephone.

*Your child is not registered until payment is received*

There is a non-refundable $20 fee per camp. If you need to change dates, please give our office a call to check on availability!

If you need to cancel for any reason, please do so two weeks prior to the camp start date for a partial refund. **There are no refunds in the two week period prior to camp starting or after the start date.

Special Accommodations Needed: *

Independent with Toileting: (Required) *

Shenandoah SOUNDstart, LLC

Call Us: +1.5405148486

Dates Child will be Attending: *

June 12- June 16 ($150)

June 19- June 23 ($150)

June 26- June 30 ($150)

July 3 - July 7 ($130)

Siblings Attending: *

0 Siblings attending

1 Sibling (5% discount/week)

2 Siblings (10% discount/week)

3+ Siblings (15% discount/week)

Child's Name: *

Receive an additional 10% discount at the time of registration for attending more than one camp!

July 3-7 SPACE WEEK (closed July 4th)

Getting to Know You!

Address *

Food Allergies/Limitations: *