Summer Camp Interest Form 2023

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For Love of Children (FLOC) will be hosting a FREE 6 week summer camp (a good faith deposit will be REQUIRED to reserve a spot once the official application is posted).

Dates: June 26th- August 4th (no camp July 4th)

Time: 8:30am - 3:30 pm (optional aftercare option available at a reduced rate)

Location: 1301 Pennsylvania Ave. SE, WDC 20003 (FLOC Main Building; directly across the street from Potomac Avenue metro station)

Email *

I meet the Summer Camp eligibility requirements (MUST meet ALL listed to enroll) *

Washington DC resident

Student is 2nd-8th grade (MUST have completed 2nd grade or higher)

Family receives Medicaid, TANF and or SNAP (must provide proof ex. picture of card, certification letter, etc.)

Required

Parent/Guardian First Name *

Parent/Guardian Last Name *

Select the number of students you are interested in enrolling (Must be legally responsible for enrollment) *

Student (s) Grade during the 2022-23 School Year (if none of the below grades apply; the student is not eligible for summer camp) PLEASE check a box for each student you are interested in enrolling. *

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

Required

Are you interested in aftercare? *

Yes

Maybe

Alternate email (list if you have a different email than you are using to submit form or if you would like the official application to go to multiple email addresses) *

Submit

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