Quantcast


Camp Kirk

Camp Kirk welcomes children ages 6 to 13 with learning disabilities and/or AD(H)D as well as those with incontinence or enuresis (bedwetting) difficulties.

KidsCamps.com Email Request

Completing the form below allows the camp you are requesting information from to contact you. It is not required to complete each field, however, doing so will facilitate the program's ability to respond to your request.

  * required fields
Full Name: *
E-mail Address: *
Home Phone: *
Work Phone:
Fax:
Address1:
Address2:
City:
State/Province:
Postal/Zip Code:
Country:
Child #1 Name: *
Child #1 Age/Ages: *
Child #1 School Grade: *
Child #1 Gender:
Child #2 Name:
Child #2 Age/Ages:
Child #2 School Grade:
Child #2 Gender:
Child #3 Name:
Child #3 Age/Ages:
Child #3 School Grade:
Child #3 Gender:
Desired Dates:
Please send me information about: Camp School Jobs
Message:

Attention: Henri Audet
Re: Request For Information

Please enter the number you see here:   *