Select Session (Separate registration forms are required for each child.) *
Student First Name *
Your answer
Student Last Name *
Your answer
Current Grade *
Parent Name (First, Last) *
Your answer
Parent Primary Phone *
Your answer
Emergency Contact Name (First, Last) *
Your answer
Emergency Contact Primary Phone *
Your answer
Health or Other Conditions *
Your answer
Does your child require medication to be administered during camp hours? *
Verify Payment *
Please make payment through LCPS School Cash Online Registration will not be complete until payment is received. Space is limited to 48 students per session. Payment is due April 28, 2023. *
Your answer
A copy of your responses will be emailed to the address you provided.