LEP 2024 Camp Interest Form

LEP 2024 Camp Interest Form

Select any programs your child may be interested in!
Thank you for your interest in our 2024 Summer Camp programs! We are about to finalize our programs for this year and will offer registration soon. Save your child's spot by completing the form below and we will notify you once the registration is open.
Date

MonthDayYear
Date
Name of Youth

First NameLast Name
Youth Birthdate

MonthDayYear
Date
Youth Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Youth Coming Grade Level
Please Select Program

Rowing Camp (ages 12+)Youth Wall St CampYouth Summer Camp
Name of Parent/Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Comments or Inquiries
Should be Empty: