Cost of Program (including lunch/snacks): 1 child $75, 2 children $100, 3 children or more $125 (same family)
Paying for the Children’s Program:
Make checks payable to: Ashley, Inc., Children’s Program
Send to: Ashley Addiction Treatment, PO Box 240, Havre de Grace, MD 21078
Check enclosed in the amount of $
Credit card can be called in to: 410-273-2227.
Request for scholarship (for families in need)
The information you are providing is confidential and will help the staff of the Children Program make your child’s experience a nurturing and healing one. Add any other information you feel is important for us to know on an additional sheet and return it with this form.