L.A.M.P. Camp Application 2019
In addition to the application please provide the following items.

Summit Students
- Outside testing results if available
- Teacher recommendation form to be delivered by teacher
https://docs.google.com/document/d/1Bi8OaAiqosb8EDviPKfe91zy9TzOw7q6Q_cloVHWL6c/edit?usp=sharing)
- All other documents will be accessed in house

Students from other school and home schools
- Recent Progress Report
- School testing results
- Outside testing results if available
- Teacher recommendation form to be mailed by teacher https://docs.google.com/document/d/1Bi8OaAiqosb8EDviPKfe91zy9TzOw7q6Q_cloVHWL6c/edit?usp=sharing)

Send by email, fax or postal mail.
Email  bscant@summitmail.org
Fax to 336 724-0099 attention L.A.M.P. Camp
Mail to L.A.M.P. Camp, Summit School, 2100 Reynolda Rd., Winston-Salem, NC  27106

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Child's First Name *
Child's Last Name *
Child's Preferred Name *
Child's Gender *
Date of Birth *
MM
/
DD
/
YYYY
Age as of June 24, 2019 *
Current School *
Current Teacher *
Grade level for next year, 2019-2020 *
Child's Address *
Describe your child's skill and interest in reading and writing. *
Describe your child's social and emotional maturity. *
In a few sentences explain why you expect your child will be a good fit for this camp. *
Is there anything else you want to mention?
List any school-related diagnoses or information that would help our teachers support your child (dyslexia, ADHD, Aspergers, autism, etc.). If not applicable, please enter NA. *
Parent Name *
Parent Email Address *
Parent Cell Phone *
Parent Home Phone
Parent Work Phone
Parent Mailing Address *
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