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Summer Camp Registration
*Please note - sessions may be canceled due to lack of interest.
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Email
*
Your email
Parent Name (s)
Your answer
Mobile Number
*
Your answer
Mailing Address
Your answer
Child's Name
*
Your answer
Child's Birthdate
*
Your answer
Sign Us Up!
*
For the Summer! What a deal! (Indicate the desired days below)
Sign Us Up for just the month of June (indicate the days below)
Sign Us Up for just the month of July (indicate the days below)
Sign Us Up for just the month of August (indicate the days below)
Sign Us Up for the Week (indicate the weeks below)
Required
If Signing up for by the month or the Whole Summer indicate the days desired
Two Days - Monday/Wednesday
Two Days - Tuesday/Thursday
Three Days - Monday/Wednesday/Friday
Four Days - Monday - Thursday
Five Days
Weekly (please note when signing up by the week you are signing up for 5 days. If you would like to just drop in a couple of days, please see the drop in availability on the website!)
June 1 - 4
June 7 - 11
June 14 - 18
June 21-25
June 28 - July 2
July 5 - 9
July 12 - 16
July 19 - 23
July 26 - 30
August 2 - 6
August 9 - 13
August 16 - 20
August 23 - 27
Any known allergies
*
Your answer
Is there any other information you would like for us to know (i.e. learning disabilities, behavioral issues, etc)
Your answer
Emergency Contact Information (please provide names and numbers of those individuals that are authorized to pick up your child(ren) from Learning Labs)
*
Your answer
I give permission for my child to be photographed. I understand that the photograph may be used in online marketing, print marketing, etc.
*
Yes
No
I understand that I am assuming all personal health liabilities that could be caused by the COVID-19 pandemic and other illnesses.
*
I agree
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