Sign up for our VT Summer Camp and secure your spot at our exciting 3-day summer camp! Complete the form to register. Please use this form for general information purposes only. DO NOT send personal health information through this form. Child’s Name*DOB* MM slash DD slash YYYY Parent Contact info*One emergency contact other than parent*Is the camper a current OCVT patient?* Yes No Previous Which days will you attend?*Are there any food allergies?*Select all areas you wish for your camper to work on:* Reading Speed and Fluency Reading Comprehension Handwriting Visual Memory, Working Memory, Processing Speed Eye Teaming Eye Focusing and Stamina Eye Hand Coordination (Specific Sport) Which sport does your child play?*EmailThis field is for validation purposes and should be left unchanged.