Little Learners 2023 Camp Registration

Camper's Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Email Address*
example@example.com
Cell 1
Cell 2
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Summer Weeks

A $100 deposit PER CAMP is required to save a spot

Deposits are non-refundable

Camp is offered to preschool aged (2-5) through 5th grade

Please choose the days and times for each camp you would like to attend. There are 3 options for each full week camp. Mini camps are only 9-3. As camps become full they will be marked with waitlist instead of prices.
Mixed Bag June 26-28 $225 (mini-camp)

M-W 9-3pm
Space July 5-7 $225 (mini-camp)

W-F 9-3pm
Storybook July 17-21
Tinker July 24-28
Animal Aug 7-11
Nature Aug 14-18

Medical Information
Does the camper have allergies and/or asthma?
Please explain on the field provided
Is the camper currently under medication?
Please provide the details, the name of the medication and period of intake
Contact Information in Case of Emergency
Name

First NameLast Name
Contact Number
Relation to camper

Payment
Payment Amount

In Full$100 Deposit per campOther
Payment in full or deposit will be made on our website. After you press submit below it will direct you to the forms/payment page.

Please scroll to the bottom of the directed page to enter your payment.

If you have any questions, please contact Stephanie at llearnersoffice@gmail.com

Thank you for choosing Little Learners
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