Small Steps Program

 

Small Steps Program

Occupational and Speech Therapy Camp Program

Ometz is now partnering with the Westmount YMCA (at the Roslyn School campus) to offer Small Steps, a program created to provide occupational and speech therapy to children between the ages of 5-12 years old.

Small Steps is designed to meet the needs of children with mild to moderate developmental delays. As an integral part of the Westmount YMCA Classic Camp experience, our program blends therapeutic services with fun-filled summer activities such as: arts and crafts, land sports, and water activities.

Families now have access to the Small Steps program at the cost of the Westmount YMCA Classic Camp, with no additional fees.

One small step can open the door to success!

The Small Steps program runs from
July 4th to August 12th, 2022 | 9am - 4pm
(4 weeks minimum)

The deadline to submit your application has been extended to this Friday, May 20th. Spaces are limited!

Please contact Amy Shapiro for more information: [email protected] or 514.342.0000 ext. 3899.

Small Steps Application
Person Completing Form
First name
Last name
Relationship with the child
Child's Information
First name
Last name
Gender
  
Date of birth
/ /
Address
City
Province
Postal Code/Zip
Name of School
Where did you hear about this program?
Please specify the services you would like your child to receive with Small Steps:
Is your child a returning camper?
  
Primary language spoken at home
    
    
 
Language in school
  
Parent's Information
Parents’ Marital Status:
   
  
Legal guardian:
   
Cell phone
Emergency contact:
Phone for emergency contact
Preferred email for correspondence:
Child's Medical Record
Medicare card number
Primary emergency cell phone:
Second emergency cell phone:
Third emergency cell phone:
Has your child been given a diagnosis?
  
School Cycle, Level and Supports (resources)
Does your child receive any special support or therapy services?
  
To complete the application process, please attach your child’s most current evaluation.
Upload file should be in one of the following formats: JPG, GIF, PNG, PDF, DOC, DOCX
The file should not exceed 12MB
Other Document
Upload file should be in one of the following formats: JPG, GIF, PNG, PDF, DOC, DOCX
The file should not exceed 12MB
Does your child have any significant medical needs?
  
Medical History
(surgeries, serious injuries, illnesses, vaccinations)
Other relevant information
Allergies
If possible, my preferred medical services are:
Hospital or doctor (include name and address).
I read and accept the terms of the Parent Consent Form
 
I have read and accept the terms of the Parent Consent Form for Visual Images.
  
Ometz professionals have my permission to contact the school personnel; psychologist, occupational therapist or speech pathologist to provide us with additional information pertaining to my child`s application dossier.