2023 Summer Camp 
 
Little Hands - Intake Form (Occupational Therapy)

Save & Return

Login to complete a saved intake form or create an account in order to save and return to your intake form.

2023 Summer Camp

Sign ups & Payment Due by May 1st at 11:30pm
 

Summer Therapy Intensives Include:

  1. Self-Regulation & Social (ages 4-7) Week 1: June 26 - June 29 Week 2: July 3 - July 6
  2. Let’s Get Organized (ages 7-10) Week 1: July 25 - July 28
  3. Girl Power (ages 9-15) Week 1: June 26 - June 29
  4. Courageous Kids (ages 4-7) Week 1: June 26 - June 29 Week 2: July 10 - July 14
  5. Cooking Camp: ADL/IADL Skills (ages 8 & up) Week 1: June 19 - June 22
  6. Kindergarten Buddies (Preschool & Kindergarteners) Week 1: June 19 - June 22 Week 2: July 24 - July 27
  7. Fine Motor/Visual Perceptual Camp (ages 8 & up) Week 1: June 6 - June 8 Week 2: June 13 - June 15 Week 3: June 20 - June 22 Week 4: June 27 - June 29
  8. Pre-Teen/Teen Camp: Leisure Exploration (ages 10-14) Week 1: July 17 - July 20 Week 2: July 24 - July 27
  9. Handwriting with Fidgets (ages 6-8) Week 1: June 20 - June 23

Child's Information

 +

Parent Information

Parent 1 (Required)
Parent 2 (If Applicable)
Secured by Formsite

Questions?

Gabrielle Perelmuter, MOT OTR/L
Clinical Director & Occupational Therapist

(415) 531-3027
gp@littlehandsot.com

Little Hands
500 Tamal Plaza, Suite 505
Corte Madera, CA 9492
littlehandsot.com