Let's Make a Difference - May + June 2022 Activity Sign-Up

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Complete the form below and select the activities you'd like to sign up for.
Please complete 1 registration form per child.
After signing up, you will receive additional information / reminders for the activity via text message.

All activities are FREE to attend. Sign-Up required.

7-Week Summer Camp 2022
Monday, June 20th - August, 3rd
Mon, Tues, Wed • 9am - 1pm
Union Square Community Room / Ray Mellert Park (Plus, Field Trips!)
Grades 1st - 5th
(Sign up by Monday, June 13th)

Roller Skating Party!
Friday, June 24th, 10am - Noon
Medina Skateland
Grades 1st - 8th
(Sign up by Monday, June 20th)

Select All Activities You'd Like Your Child to Attend *

2022 Summer Camp • Monday, June 20th - August, 3rd (M-W, 9am - 1pm)

Roller Skating at Medina Skateland on Friday, June 24th • 10am - Noon

Required

Child's First Name *

Child's Last Name *

Child's Birthdate *

YYYY

Parent's / Guardian's Name *

Parent's / Guardian's Phone Number *

Has This Child Attended LMAD Activities Before? *

Yes

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