Launch Kenmore Summer Registration

Launch Kenmore Summer Camp 2026

Filling out this form does not automatically enroll your student. You will hear from Taylor Buchanan to confirm your student is enrolled by May 29th. Submissions are taken on a first come first serve basis. When: June 8-26 & July 6-31 (Closed June 19) Time: 8:30a-1:30p *Daily attendance is required Cost: Total camp cost $100 *$25 non-refundable deposit required to hold spot. Where: First Glance Student Center - 943 Kenmore Blvd Akron, OH MANDATORY Parent Orientation: June 5th from 5p-6p Any questions please contact: taylorbuchanan@firstglance.org
Information of Child
Student Name

First NameLast Name
Student Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender
Child's school and grade completed - your student must have FINISHED kindergarten to enroll
Student ID number:
Weeks Required
Information of Parent
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 1 & 2
In the event of an emergency, please contact:
Name - Contact #1

First NameLast Name
Name - Contact #2

First NameLast Name
Phone Number - Contact #1
Please enter a valid phone number.Format: (000) 000-0000.
Phone Number - Contact #2
Please enter a valid phone number.Format: (000) 000-0000.
Other people authorized to pick up child from First Glance
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information
Please list any of the following: Current medications, medication allergies, food allergies, or chronic health concerns.
Swimming Abilities - We will be taking a few swimming trips this summer. Let us know your child ability/comfortability with swimming. Let us know if they swim with a life jacket.
General Permission: I do hereby, for myself, my heirs, executors and administrators, waive and release all right and claim for damages I may have against First Glance Student Center. I am the legal guardian of the student(s) named below and hereby give my permission for the named student(s) to participate in the First Glance activities both on-site and off-site. I attest that I have full knowledge of the risks involved, and if I am unable to be reached, authorize that First Glance’s leadership use their best judgment in acting on behalf of my child, including the administration of emergency medical treatment by available medical personnel. I will hold the medical personnel, the leaders and First Glance harmless of their action in such a situation. By typing my name in the box, I agree to the terms above.
Should be Empty:

Launch Kenmore Summer Camp 2026

Information of Child

Information of Parent

Medical Information