Camp LOLA Registration Form

Parent/Guardian Information

Parent/Guardian Name(s)*

First NameLast Name

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone*

Preferred Campus:*

LOLA Marble Falls K-5th (currently accepting Kind registration only; other grade levels will be added to waitlist)LOLA Dripping Springs K-4thLOLA Burnet County K-6th

Student 1 Name*

First NameLast Name

Student 1 Grade (Fall 2024)*

Student 1 Birth Date*

MonthDayYear

Student 1 Previous School Experience:*

Student 1 Please share any relevant information concerning academic, behavioral or medical support needed:*

Student 2 Name

First NameLast Name

Student 2 Grade (Fall 2024)

Student 2 Birth Date

MonthDayYear

Student 2 Previous School Experience:

Student 2 Please share any relevant information concerning academic, behavioral or medical support needed:

Which areas of LOLA are of most interest to you for your student's educational experience?

My child(ran) will be enrolled in the extended day program: (Extended day programs subject to minimum enrollment)*

Ext Day MF campus (8:30 - 5:00)Ext Day DS campus (8:30 - 5:00) - if minimum enrollment metExt Day BC campus (8:30 - 5:00) - if minimum enrollment metNot enrolled in Ext Day

Tuition Preference (supply fee will be also be invoiced per selection below):*

Annual Tuition prior to May 15, 2024 in order to receive $500 discountSemester Tuition prior to May 15, 2024 in order to receive $250 discountAnnual Tuition prior to August 1, 2024 in order to receive $100 discountSemester Tuition prior to August 1, 2024 in order to receive $50 discountMonthly Tuition August 1, 2024 - May 1, 2025 (tuition insurance may be required)Unsure (will default to monthly option if no preference submitted prior to August 1)Other

Pre-Registration Fee*

Pre-Registration Fee (per student)LOLA pre-registration requires a one-time $125 registration fee (refundable until June 30 if your child does not enroll). If you prefer to pay by check, enter code MAIL below and submit payment by mail to HCEL, PO Box 1783, Marble Falls, TX 78654.

$125.00 Number of Students

Enter coupon

Total

$0.00

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

LOLA 2024 Pre-Registration Form