March Break Camp Registration Form

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March Break Camp Registration Form Child’s Name ___________________________

All camp programs are held at Hands 2 Feet. Camps may be cancelled due to low registration. Confirmation for your camp will be sent out 2 weeks before the start of the camp.

DOB__________________________________ Address _______________________________ ______________________________________ Phone Number (s) _______________________ ______________________________________ Email _________________________________ Parents’ Names ________________________ ______________________________________ List any special needs or allergies _______________________________________ _______________________________________ I would like to register my child for :

1895 Clements Road Unit 115 Pickering, ON L1W 3V5

___ Printing Camp (March 13-17) 9:00 am—11:30 am ___ Sensory Motor Camp (March 13-17)

 Take 401 to Brock Rd south in

Pickering  1st lights south of Bayly St turn left onto Clements Rd

“helping your child reach their potential in daily activities”

1:00 pm– 3:30 pm I have enclosed a cheque for $ ________ with my registration form.

Tel: 647-221-5278 Email: [email protected] www.hands2feet.ca

Printing Camp Based on our popular and successful Write On - An Occupational Therapy Printing Group, this camp is for children 6-8 years old who are experiencing difficulties completing written work at home and school due to:     

Poor pencil grasp Incorrect letter formation Decreased speed Poor spacing within and between words Decreased use of lines

Sensory Motor Camp Is your child fidgety, active, and always on the go? He/she may be seeking more sensory input. This camp provides children with increased opportunities for more sensory input through specific games and activities. Children will have the opportunity to: 

   

Engage in heavy work activities that provide resistance to muscles and joints Receive deep pressure sensory input Engage in tactile sensory activities Participate with peers in offering and receiving sensory activities Learn to recognize which sensory activities they prefer

Time: 9:00 am - 11:30am Dates: March 13 - 17 Fee: $300

Time: 1:00 pm—3:30 pm Dates: March 13 — 17 Fee: $250

Maximum 6 campers/session. All sessions run by a registered occupational therapist.

Maximum 6 campers per session. All sessions run by a registered occupational therapist.