LMP Summer Break Sign-up

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Please complete this form to sign your child up for Summer programming. North Elementary is the primary location for all weeks of summer camps. If enrollment reaches capacity at North Elementary, then a second location at Hinkle Creek Elementary will be available.

Child's Full Name *

Child's Age as of June 1, 2017 *

Site your child will attend in 2017-18 (in LMP or Kindergarten) *

Hinkle Creek (LMP or Kindergarten)

Hazel Dell (LMP or Kindergarten)

Noble Crossing (LMP or Kindergarten)

North (LMP or Kindergarten)

Stony Creek (LMP or Kindergarten)

Promise Road (Kindergarten only)

White River (Kindergarten only)

N/A - not in LMP or entering Kindergarten in the Fall

Please list any known allergies

Parent(s)/Guardian(s) Full Name *

Parent/Guardian Email address *

Parent/Guardian Primary Phone number *

Select Choice(s) for Summer Break *

America the Beautiful - Week 5: July 3 - July 7 - cost $175 *Camp will be closed on July 4th*

Wide World of Sports - Week 6: July 10 - July 14 - cost $190

None of the above

Required

Pick-up time *

Disclaimer: I understand that once the registration window closes I will still be charged for weeks I enrolled my child. (June camps deadline is May 22nd, July camps deadline is June 9th.) *

YES

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