STL Summer Camp 2020 Registration

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STL Summer Camp is a 5-day camp from 9am-3pm for youth with physical and/or intellectual disabilities between the ages of 6-18 (19-21 if enrolled in school) who live in St. Louis City and St. Louis County. The cost of Summer camp is $50 for St. Louis City Residents and $250 for St. Louis County Residents.

However, due to potential changes from the COVID-19 virus we are postponing payment until further notice. Also, if you are forwarding Spring camp fees to Summer that will be factored into your costs. Thank you

*Once you fill out this form and press submit, your child is now registered and you do not need to fill out this form again. You will be contacted AFTER registration closes.

Current Resident of: *

St. Louis City

St. Louis County

LifeBridge Camp Enrollment *

I am a current client with LifeBridge Partnership

I am a new client with LifeBridge Partnership

Child's First Name *

Child's Last Name *

Child's Date of Birth *

YYYY

Gender *

Female

Male

Prefer not to say

Other:

What day (s) does your child plan to attend camp? *

A Full Week of Camp July 27-31, 2020

Monday July 27

Tuesday July 28

Wednesday Jul 29

Thursday July 30

Friday July 31

Required

Parent or Guardian's Full Name *

Street Address *

City *

Zip Code *

Home Phone *

Cell Phone *

Email Address *

Person(s) Authorized to Pick up Child *

Camp Transportation (Please Read Carefully) *

I will be providing my own transportation to and from camp. Camp will start at the same location every day, with daily afternoon field trips. You will drop off and pick up your child at the same location daily.

I am requesting door-to-door transportation from LifeBridge. (Limited to St. Louis City residents only)

I would like to request a scholarship. (If yes, please answer the next question) *

Yes

Please let us know If you are requesting a full or partial scholarship. In a brief statement, what amount do you feel comfortable contributing towards your child's camp fee? (You will be contacted after registration closes regarding this request) *

Thank you for completing the online registration form for STL Summer Camp 2020. We will respond within 2 weeks to complete payment and confirm registration. Your registration has been received, you do not need to complete this form again.

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