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Classes

Name: Summer Camp
Start: 2024-06-20T18:00:00-06:00
End: 2024-06-20T20:00:00-06:00
Location: Stir-n-Up Hope Barn

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June 2024

Wed 19

June 19 @ 6:00 pm - 8:00 pm

Summer Camp

Stir-n-Up Hope Barn 17336 N ST RD 162, Ferdinand, IN, United States

Available for incoming and outgoing middle schoolers. Contact rachel@stir-n-uphope.org to register!

$100

Thu 20

June 20 @ 6:00 pm - 8:00 pm

Summer Camp

Stir-n-Up Hope Barn 17336 N ST RD 162, Ferdinand, IN, United States

Available for incoming and outgoing middle schoolers. Contact rachel@stir-n-uphope.org to register!

$100

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FILL OUT THE PRELIMINARY APPLICATION BELOW

Precautions & Contraindications

Prospective Participant Name

DOB

Height

Weight

Street Address

City, State, Zip Code

Doctor Name

Doctor Phone Number

Behavior Concerns (i.e. elopement, aggression)

Please describe mobility level/needs. Do they require support while sitting?

Health Concerns/Diagnoses (i.e. hemophilia, seizures, Down Syndrome, implanted devices)

Is Axial Skeleton closed? (for Down Syndrome only)

Date of Last Seizure (if applicable)

Contact Name

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Contact Email

Relationship to Participant

In Case of Emergency Call

How did you hear about us?

What outcomes are you hoping will result from time at Stir-n-Up Hope?