Outside Voice Selective Mutism Camp Registration — Pinnacle Counseling and Testing Center google-site-verification: googlecf1cd1b1e71bac2e.html

Outside Voice Camp Interest Form

Please complete the following form to express interest in registering your child for our Selective Mutism Camp! If registering siblings, please fill out one form per child. After reviewing your information, our intake coordinator will contact you and get you started with the registration.

We will be running camp in Murrieta, CA from July 21- 24, 2024

Please complete the form below

Child's Name

First Name

Last Name

Parent/Legal Guardian's Name

First Name

Last Name

Phone

(###)

###

####

Home City, State

Age of Child as of Camp Start Date

Is Your Child a Current Pinnacle Client?

How Did you Hear about Outside Voice?