Request edit access
Please fill out the form below to register your teen or adult for our LBS Summer Camp Program. As the weeks begin to fill up they will be removed from the registration form to prevent under staffing and/or overbooking.

The pricing for camp is as followed;

Full Summer - $5600.00
Two Week Session - $1500.00
One Week - $ 800.00

Taylor Mehaffey, our Board President will contact you via email to confirm your registration, pass along our intake package and discuss arrangements for a 20% deposit. Confirmation emails will start going out in the beginning of April. In order to secure your spot we will need the intake package returned and deposit received unless otherwise discussed with our Board President. All spots are first come first serve.

All of us at LBS Support Services look forward to a great summer and can't wait for your teen or adult to attend!

Email address *
Camper's Full Name *
Your answer
Camper's Age *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Phone Number *
Your answer
Diagnosis (please list all)
Your answer
Has the camper attended LBS Summer Camp before?
How long would you like your child to attend summer camp?
Notes about attendance
Your answer
Please choose the weeks you would like your child to attend. Please check all that apply *
Never submit passwords through Google Forms.
This form was created inside of Tammy Kliewer. Report Abuse - Terms of Service