• Little Lotus Summer Camp 2023 Registration Form

    Summer camp begins July 05 until August 25,2023. Pick up and drop off will be at Lincoln Road and Ocean Avenue each day. Tuition is 550.00 per week. Campers must register for a full week. We offer a 10% sibling discount. Tuition must be paid in full before your child attends .. A non refundable registration fee of $75.00, is due when you submit the registration form.
  • Camper Info

  • Camper 1

  • Camper 2

  •  -
  • Parent or Legal Guardian Information

  •  -
  •  -
  •  -
  •  -
  • Health Information

  • It is our policy to contact the parent or guardian as soon as possible in the event of a serious accident or injury.

  • All fileds are required below.  If nothing applies, please put "NONE" in the box.  Thanks.

  • Payment Information

    $75 Registration Fee Due
  • If paying with PayPal you will be redirected to PayPal once you hit submit.

  • Camper Release

    • Be certain to enter your email address correctly on the registration form to receive confirmation via email with in 2 weeks
  • By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. 

    I understand that the above named camper will only be released to the names listed above, an update may be done at registration.

     I certify that my child has my permission to attend camp and participate in all activites. 

  • Clear
  • Categories:All
    All
    prevnext( X )




        Total $0.00
      • Should be Empty:
      Jotform Logo
      Now create your own Jotform - It's free!Create your own Jotform