Summer Camp Registration Form

Latino Club STEAM-Inspired Summer Camp

Register for each individual week. Max capacity is 20 students each week so first come first serve!
Welcome to the LCDA's 2025 Summer Camp Registration!

We’re excited to offer an engaging, 4-week summer camp experience right here at the Latino Community Development Agency in Oklahoma City! Registration is now open for the first 4 weeks (Month 1) of camp. Campers will enjoy hands-on activities, learning opportunities, and fun experiences in a safe and supportive environment.

Cost: $50 per child for each week
Sibling Discounts: 10% off for the first additional sibling, and 15% off each additional child after that
Meals: Lunch and snacks will be provided during Month 1 through a partnership with OKCPS
Duration: Monday-Friday from 9:00 AM - 12:30 PM

Interested in Month 2? You’ll have the chance to express interest later in the form!

We look forward to a summer full of fun, learning, and growth with your family!
Student's Information
Student's Name*

First NameLast Name
Birthday*

MonthDayYear
Date
Race/Ethnicity*

WhiteHispanic or LatinoBlack or African AmericanAsianAmerican Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderOther
Gender*

MaleFemaleOther
School*
Grade*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*
E-mail*
example@example.com
Emergency Contact(s)*
What week are you interested in?*

Week 1 (June 2-6)Week 2 (June 9-13)Week 3 (June 16-20)Week 4 (June 23-27)
Are you interested in Camp in July?*

YesNo
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe.
Confirmation

BY ACKNOWLEDGING AND SUBMITTING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Latino Club STEAM-Inspired Summer Camp

Student's Information