S.K.I.L.L.S. Group registration

  • I give permission for my child to participate in Chill S.K.I.L.L.S. Group, and all activities associated with it.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • I give permission for the therapists or camp volunteers to accompany my child to the bathroom, if necessary.
  • I give permission for my child to participate in photos and videos taken during camp for media purposes for The Center for LifeSkills/Stefanie Peck. My child’s first name, photo and/or videos may be used and seen in printed marketing materials, website content, and/or our Facebook business page. Media will not be shared with any third parties, or appear on any personal Facebook pages. This release will remain active until I or my child's guardian notifies The Center for LifeSkills/Stefanie Peck.
  • S.K.I.L.L.S. Group costs $395 per child for the 6-week session. Once you submit your registration form, you will be directed to our secure payment portal to complete your payment. Thank you!
  • This field is for validation purposes and should be left unchanged.