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Summer 2025 Inquiry Form

Hello!

Thank you for your interest in The Clinic of Atlanta Speech School. Please complete the form below in order to receive an application and/or registration for summer services. Leah King will follow up to send you the necessary documentation. Please see the following dates to determine when registration opens:

Camp Wonder Application:

  • Tuesday, January 21st: Current/Former Clients & Atlanta Speech School students
  • Monday, February 3rd: Public

Registration for Individual Services:

  • Monday, March 17th: Current/Returning Clients
  • Monday, March 24th: Atlanta Speech School students
  • Monday, March 31st: Public

*Scheduling for individual services will be on a first come first serve basis once the registration has been returned to our office.*

Summer clinic registration closes on Wednesday, May 21st.

Deadline to receive a refund is Friday, May 23rd.

Required

Child's Name:required
First Name
Last Name
If your child attends the Atlanta Speech School, please note the specific program
Is your child a: (Please select all that apply)required
Parent / Caregiver Name:required
First Name
Last Name
Relationship to Child:required
Must contain a date in M/D/YYYY format
Gender:required
Has your child received one of the following evaluations: (Please select all that apply)required
Please select the service(s) you are interested in: (Please select all that apply)required
Please note: Certain clinic services require submission of a teacher questionnaire.