2026 Healing Suites Therapeutic Summer Camp Registration Form
  • Therapeutic Summer Camp Registration- July 7th- Aug 7th, 2026

  • Welcome to Transformation Nation, Inc's Therapeutic Summer Camp! We are so excited you chose us to provide a fun, safe, and healing environment for your kids who we call our "Healies"! 

    We are so excited to introduce our many partners and frinds who will be assisting us with programming. From Yoga to our Healing Botanical Garden, your children are destined to grow and heal from any past trauma's. Your children never been exposed to trauma, not a problem, your children will be well equipped to either support a friend or loved who has suffered from truama but they will also leave US with a strong understanding of how to cope with any trauma they may face. 

    So, let's get the party started! Please complete the form in it's entirety and someone from our admin team will confirm reciept of your registation form. We hope to provide the healing and growth your children need and derserve for their future. 

     

    Thank you, 

    The Healing Suites Team! 

    • Healie's Name 
    • Gender*

    • Healie's Demographics  
    •  -
    • Parent or Legal Guardian Information 
    •  -
    •  -
    •  -
    •  -
    • Healie's Emergency Contact Information

      Two Emergency Contact Persons are required if applicable
    •  -
    •  -
    • Email Confirmation 
    • Health Information

      A health officer is on site at all times.
    • First Time Healie? (If yes, subtract $25 from healie fee)*
    • It is our policy to contact the parent or guardian as soon as possible in the event of a serious accident or injury.  If the information has changed on the day of registration please see the health officer at that time.  Please bring all medication in ORIGINAL CONTAINER or you will not be allowed to leave the medication or vitamins at the camp.  No exceptions.  All prescriptions must be in that campers name and the correct dosage.  

    • Is camper free from infectious disease or conditions?*
    • Are immunizations and vaccinations up to date?*
    • Browse Files
      Cancelof
    • All fileds are required below.  If nothing applies, please type "NONE" in the box.  Thanks.

    • Parent Pre-Survey 
    • Activities Schedule at the Healing Suites 
    • 2026 Therapeutic Summer Camp Activities Schedule at the Healing Suites

      Select 1 or all weeks (PRP Kids will automatically be registered for weeks)
    • Complimentary Transportation Services:

      Through the great partnership with Transformation Health, LLC, Transformation Nation, Inc. will be providing complimentary transportation services for all children enrolled in PRP Services. This transportation will be provided by a third-party transportation service, Double J Transportation, LLC.

      Please understand that all parents will be required to complete our Transportation Service consent and waiver form to participate in the transportation services. Parents will consent to the third-party transportation service for all filed trips, daily pick up and drop off services, and other trips that may be scheduled or for non-scheduled events.

      Please be aware that some Healies may receive transportation by our previously approved Transformation Health/Nation staff. These staff members have been cleared to transport children with driving records and current driver’s license on file.

      When children are being picked up from Transportation, we asked that all Healies be ready at the door for pickup. We want to make sure that all Healies are dropped off in an appropriate time frame.

      • Healies will be dropped off at the home office:

                    *All Healies will be delivered and checked off by the Transportation                             Driver and check in by Transformation Nation/Health Staff.

                    *Healies will then be escorted to the Healing Suites by staff.                

      Field Trips:

      Healies are required to wear their camp t-shirts and bringing their camp back sacks on field trips. This is required so that each child is identifiable from their shirts and the back sacks are for transporting any personal items they may need. (i.e. Rx)

      Healies are also required to bring any spending money they desire to bring not to accede $25. We do not want Healies to have access of spending money to protect them from loss of funds.

            * Camp staff and or their parent volunteers are NOT RESPONSIBLE for                        Healies personal belongings and or monies. 

       

      All Healies parent/gaurdian are required to complete the below waiver agreement:

    • I the parent of         authorize (Transformation Health/Nation Therapeutic Summer Camp) to prepare transformation services to the Healies and it's organizer the activities of the camp. I discharge, waive, and indemnify Transformation Health/Nation Therapeutic Summer Camp and it's owner, staff, and contractor's against all claims, injuries, property damage, accidents, and, or death.

    • Healie Release

      No more than two people.
    • Therapeutic Summer Camp Schedule

      "Let the Healing Begin!"
    • Payment Information

      $50 Registration Fee Due
    • Choose Referring Source (If applicable)

    • If your child (children) were referred by DSS (Department of Social Services) please click the lin below. 

      Neither referral sources need to click the boxes for each week. Your children will be included in the full two month therapeutic summer camp! 

    • If paying with PayPal you will be redirected to PayPal once you hit submit.  You can either pay with credit card, or your personal PayPal account.  There is a $1.50 processing fee for using this option.  The remaining balance is due anytime before their week of camp.  If you have any issues or questions feel free to contact Cyrus at 443-873-9106.

    • If paying with a check, please send the registration fee as soon as possible.  You can pay multiple registration fees with one check.  In memo, please put the camper(s) name.  The remaing balance is due anytime before their week of camp.  

      If you have any questions feel free to contact either Ms. Cyrus Nusum at 443-873-9106 or Ms. Kellie Rice at 443-759-9592 Ext. 

      • Be certain to enter your email address correctly on the registration form to receive confirmation via email with in 2 weeks
    • By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named healie, and are over the age of 18.  In case of medical emergency or general medical care, I give consent for medical teatment for the aboved named healie by authorized personnel. I understand that the above named healie will only be released to the names listed above, an update may be done at registration or in person. Any addional names must be submitted in writing or in person by the leagal guardian.  I certify that my child has my permission to attend camp and participate in all activites.  I authorize The Healing Suites of Transformation Nation, Inc. to use my healies's picture, testimony, and video in any promotional material (web,print,or media) My child may recieve all e-mails from the camp.  

    • Date
       - -
    • DO NOT CLICK BELOW If you clicked on a box above choosing your referral source as either Transformation Health PRP or Balitmore DSS Kinship Caregiver Welfare System.

    • 2024 Summer Camp at the Healing Suites of Transformation Nation, Entering Grades 1-6

      prevnext( X )

        Week 1 - Healing Suites Therapeutic Summer Camp Healthy Lifestyle Camp. Healing Suites - Week 1 Mini Summer Li'l Cooks Camp.

        Week 2 - Healing Suites Therapeutic Summer  Visionary Art Camp. Healing Suites - Week 2 Mini Summer Visionary Art Camp.

        Week 3 - Healing Suites Therapeutic Summer Gaming and Recreation Camp. Healing Suites - Week 3 Mini Summer Gaming and Recreation Camp.

        Week 4 - Healing Suites Therapeutic Summer  Natural Healing Camp . Healing Suites - Week 4 Mini Summer Sensory Gardening Camp.

        Week 5 - Healing Suites Therapeutic Summer Self Care Camp. Healing Suites - Week 5 Mini Summer Adventure Camp.

        Subtotal $0.00$0.00Tax $0.00$0.00Total $0.00$0.00
      • Payment Methods

        Choose from one of the PayPal options to make your payment.

      • Should be Empty: