First Friends Summer Camp 2016 Application Register below for Lucy Daniels Center's first ever Summer Camp. Early Bird Discount Enroll before June 1, 2016 to save 10%! Child's Name* First, Middle, Last Child's Preferred Name Birth Date* (mm/dd/yyyy) Gender MaleFemale Current School* School name, home-schooled, not enrolled Address 1* Address 2 City* State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip* Primary Phone Number* Most reliable contact number Mother/Guardian* Father/Guardian Family email Is your child allergic to anything?* MedicationInsectsFoodsOtherNo allergy Please specify Why are you seeking a social skills camp for your child?* Please briefly explain Initial observation of your child and/or consult with teacher will be free of charge. Would you like us to observe your child in his/her current school setting and/or communicate with his/her teacher?