Camp Registration Request Form
Camp ABLE 2023
Eligibility Requirements for Services
Applicants must meet all requirements below.
*Check all that apply::
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*Child displays behaviors that result in one or more of the following: :
Must meet one or more
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*Are you interested in your child receiving OT, PT and/or Speech Therapy during camp through child's health insurance coverage, if authorized by insurance, or private payment?:
If you answered yes:
*Is your child currently receiving these therapies?:
*Does your child receive Medicaid?:
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Gore Family Memorial Foundation
Address: 10250 NW 53rd Street Sunrise, Florida 33351 Phone: (954) 746-9400