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Summer Camp
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Session 1 – June 3, 2024 through June 14, 2024
Session 2 – June 17, 2024 through June 28, 2024
Session 3 – July 1, 2024 through July 12, 2024*
Session 4 – July 15, 2024 through July 26, 2024
Camp Hours will be 8:30 a.m. until 2:30 p.m. daily. Registration fee of $75 is due at the time of registration.Camp cost is $600 per child (per two week session). *Session 3 will be prorated to $480 due to July 4, 2024 and July 5, 2024 off for the holiday. Campers must pay for full sessions. No discount will be given for missed days during a session. Before and After Care is available for $95/Sibling fee of $60 per week. Before Care only is $40 per week. Drop in Rates: After Care $35 per day. Before Care is $20 per day. Credit card payments will be accepted with a 3.5% service charge. Payments can be made in person at one of our locations or contact Beth Santos to pay over the phone or email. Phone is (813)693-5101, Option 1, Extension 103. Email is beth@impactacademyschool.org.
Email
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Camper Name
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Last
Has the camper previously attended Impact Academy's Summer Camp?
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Parent Name(s)
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Address
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Diagnosis(es)
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Primary Phone
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Does student have: (Please check all that apply)
IEP
504 Plan
Please upload IEP/Behavior Plan
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Medical Insurance Company
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ABA Therapy Company
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Previously required 1/1?
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Is your child potty-trained?
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Yes
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Does your child have a history of seizures?
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Date of last seizure, if applicable.
Does your child have pica?
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Yes
No
Is your child an elopement risk?
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Does your child have allergies?
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Allergies:
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Does your child take medicine during school hours?
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