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Camp Kindergarten 2023 Application
Has your child attended preschool?
Does yor child have a development delay, disability or health concern?
Does your child have and IEP (Individual Education Plan)? If Yes a copy of the IEP and case manager contact information is required.
Child's Gender
Child's Ethnicity:
Child's Race:
Does your child speak a language other than English at home?
Child's Health Insurance
Camp Kindergarten Session Preference
Does your child require transportation in order to attend Camp Kindgerten?
Parent's Ethnicity:
Does parent speak a language other than English at home?
Parent's Race:
Parent's Health Insurance
Income Informaton
Upload Individual Educaton Plan (IEP)
Housing Arrangements
Upload Case Manager Contact Information

Thanks for submitting!

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