Summer Camp Registration
*Please note - sessions may be canceled due to lack of interest.
Email *
Parent Name (s)
Mobile Number *
Mailing Address
Child's Name *
Child's Birthdate *
Sign Us Up! *
Required
If Signing up for by the month or the Whole Summer indicate the days desired
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!)
Any known allergies *
Is there any other information you would like for us to know (i.e. learning disabilities, behavioral issues, etc)
Emergency Contact Information (please provide names and numbers of those individuals that are authorized to pick up your child(ren) from Learning Labs) *
I give permission for my child to be photographed. I understand that the photograph may be used in online marketing, print marketing, etc. *
I understand that I am assuming all personal health liabilities that could be caused by the COVID-19 pandemic and other illnesses. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy