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Back to the Future! THE UNIVERSITY OF TEXAS AT DALLAS Callier Center for Communication Disorders 1966 Inwood Road Dallas, Texas 75235 Enrollment is limited. Register today! To register, send completed form with payment to: Callier Center for Communication Disorders c/o Melissa Sweeney 1966 Inwood Road, Dallas, TX 75235 Child’s name ___________________________________________________________________________________ Child’s date of birth ______________________________ Grade level ____________________________________ Parent’s / Guardian’s name_______________________________________________________________________ Address _______________________________________________________________________________________ City____________________________________ State_____________________ Zip code_____________________ Phone number_______________________________ Email address______________________________________ How did you hear about Cochlear Implant Camp? Facebook Callier website DFW Child Physician referral Other: ____________________ Payment Method: Please send me a scholarship application. Check/money order made payable to The University of Texas at Dallas MasterCard / Visa / Discover (circle one) Name on card:__________________________________________________________________________________ Credit card #:___________________________________________________________________________________ Exp. date:_________ / ______________ Security code / 3 numbers on back:_____________________________ Cochlear Implant Summer Listening Camp July 20 - 24, 2020

Dallas, Texas 75235 Future! · 2020. 2. 27. · The cost of camp is $250 which includes: • snacks each day • a camp T-shirt • daily speech, language and listening intervention

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Page 1: Dallas, Texas 75235 Future! · 2020. 2. 27. · The cost of camp is $250 which includes: • snacks each day • a camp T-shirt • daily speech, language and listening intervention

Back to the Future!

THE UNIVERSITY OF TEXAS AT DALLAS

Callier C

enter for Com

munication D

isorders1966 Inw

ood RoadD

allas, Texas 75235

Enrollment is limited. Register today!

To register, send completed form with payment to:Callier Center for Communication Disorders

c/o Melissa Sweeney1966 Inwood Road, Dallas, TX 75235

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Cochlear ImplantSummer Listening Camp

July 20 - 24, 2020

Page 2: Dallas, Texas 75235 Future! · 2020. 2. 27. · The cost of camp is $250 which includes: • snacks each day • a camp T-shirt • daily speech, language and listening intervention

About the Camp

The annual Cochlear Implant Summer Listening Camp:

• is for children ages 4 -11 who have cochlear implants (children must be toilet-trained);

• includes typical camp activities such as games, music, arts and crafts;

• provides the campers with listening and speech-language therapy throughout the week;

• is staffed by UT Dallas graduate students who participate as camp counselors or “buddies” for the campers under the supervision of licensed speech-language pathologists and audiologists.

Registration:

The cost of camp is $250 which includes: • snacks each day• a camp T-shirt• daily speech, language and listening

intervention• transportation to and from camp

Monday - Thursday leaving from Callier Dallas (Friday leave from Callier Dallas, but pickup at camp)

• the Friday Family Celebration

Space is limited.

When:July 20 - 24, 20209:00 a.m. - 3:00 p.m. (Monday - Friday)

Where:Cross Creek Ranch3406 Dublin Road | Parker, Texas 75002crosscreekranchtx.com

Tuition: $250

Registration deadline:May 15, 2020

Contact: Melissa [email protected] | 214.905.3139

To reserve your spot at camp:• complete and mail the registration form

on the back• send a non-refundable $75 deposit

before May 15, 2020

Once a deposit is received, the family will receive registration materials and specific information about camp. These forms must be returned in order for the child to attend. UT Pediatric Cochlear Implant Program:

The Callier Center is a member of the UT Pediatric Cochlear Implant Program, which is a collaboration between The University of Texas at Dallas, The University of Texas Southwestern Medical Center and Children’s Health.

Scholarships: A limited number of scholarships are available. To request a scholarship application, please check the box on the registration form and return it before May 15, 2020.