MossRehab Camp Independence Forms- MossRehab ResourceNet

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"MossRehab Camp Independence"

Camp Dates: Sunday, June 16, 2013 to Sunday, June 22, 2013.

Camp Location: Variety Club Camp and Development Center 2950 Potshop Road, P.O. Box 609, Worcester, PA 19490

Fee for Camp: $600.00 (registration fee $10.00, camp fee $590.00). Tuition is non-refundable.

1. Application Cover Letter (PDF: 15 KB / 1 page)	5. Form C (PDF: 155 KB / 3 page)
2. Application Form (PDF: 74 KB / 2 page)	6. Camp Directions (PDF: 158 KB / 1 page)
3. Form A (PDF: 15 KB / 1 page)	7. Finacial Aid Request (PDF: 12 KB / 1 page)
4. Form B (PDF: 71 KB / 1 page)

To register for Camp Independence, please download each form, complete, and return to:

Therapeutic Recreation Department
Camp Independence
MossRehab
60 Township Line Road
Elkins Park, Pennsylvania 19027

If you have any questions you may contact us by phone at 215-663-6295.

Forms are in the PDF format. Adobe Acrobat Reader is required to view or print the forms. To download the free Adobe Acrobat Reader click on the Get Adobe image above or visit: www.adobe.com/products/acrobat/readstep2.html

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