Child Mind Institute Summer Program – Application

Thank you for your interest in the Child Mind Institute Summer Program, a four-week summer treatment program for children ages 5 through 10 who have ADHD or who need help with behavioral, learning and social issues.

Please fill out the form below to apply to the Child Mind Institute Summer Program.

Returning families: If you are a returning family from last year’s program and there are no changes, please enter “no change” for ease of completion of this form. If there are relevant updates in your child’s life or mental health, please include those on this form.