Janaury/February No School Camps

January 21, 2019, February 15, 2019, Febraury 18, 2019

2320 US Highway 1

Lawrenceville, NJ 08648‎

Limitless is excited to offer a camp when schools are closed on January 21, 2019. To ensure safety and the integrity of our program, we will maintain a ratio of AT LEAST 1 trained ABA therapist and 1 ABA intern for every 3 students with special needs. During the camp, we will offer a variety of activities such as yoga, art projects, social skills groups, game play, and gross motor play. Please send your child in with lunch and plenty of snacks and drinks.

9am-12noon = $75 per day

9am-3pm = $150 per day

Child's Name

First Name Last Name

Birth Date

Month Day Year

Gender

Male Female

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Parent/Guardian Information

Name

First Name Last Name

Home Number

Area Code Phone Number

Cell Number

Area Code Phone Number

E-mail

Emergency Information

Emergency Contact's Name

First Name Last Name

Relationship

Phone Number

Area Code Phone Number

Alt. Phone Number

Area Code Phone Number

Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.

Walking field trip permission

By confirming below, I give Limitless Behavioral services permission to take my child on a "walking field trip" to the playground and park that is less than a 5 minute walk from the building. The children will be supervised and the staff to student ratio will remain the same (2 adults for every 3 children).

Payment Information

After your registration is received, you will receive an invoice to make a payment.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

January and February No School Camp Registration