Summer Camp Registration 2026

Parent/Guardian 1 Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian 2 Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Student Name*

First NameLast Name

2026-2027 Grade*

grade student will enter this fall

Shirt Size*

Gender*

YesNo

If yes, please explain

Innovation Academy CampsAthletic CampsFull Day Camps

Super Art (June 8-11) grades 1-3Super Art (June 8-11) grades 4-6Lego Technic Robotics (June 8-11) grades 4-6Theatre Triple Threat (June 8-11) grades 4-6Re-Create Art (June 15-18) grades 1-3Re-Create Art (June 15-18) grades 4-6Coding Camp (June 15-18) grades 4-6Created to Create (June 22-25) grades PreK & K

Basketball Camp (June 15-18) grades 1-4Basketball Camp (June 15-18) BOYS grades 5-8Basketball Camp (June 22-25) GIRLS grades 5-8Volleyball Camp (June 22-25) grades 5-8Soccer Camp (June 29-July 2) grades 1-4Soccer Camp (June 29-July 2) grades 5-8Cheer Club (July 27-30) GIRLS grades 1-8Field Hockey Camp (August 3-6) GIRLS grades 1-4

God's Creation Day Camp (July 6-9) grades 1-5Creative Arts Day Camp (July 13-16) grades 1-5Sports & Games Day Camp (July 20-23) grades 1-5Water Fun Day Camp (July 27-30) grades 1-5

Emergency Contact Name*

In addition to parents/guardians listed above.

Relationship

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

In consideration for the opportunity to participate in any LCCS Summer Camp, the Participant (or parent/guardian if Participant is a minor) acknowledges and accepts the risks of injury associated with participation in the activity. The Participant (or parent/guardian) accepts personal financial responsibility for any injury sustained during the activity. Further, the Participant (or parent/guardian) promises to indemnify, defend, and hold harmless the activity sponsor, or its agents, employees, volunteers, and any other representative (collectively referred to hereinafter as “Sponsor”) for any injury related directly or indirectly out of the described activity, unless such injury arises out of the gross negligence of the Sponsor or otherwise. If a dispute over the agreement or any claim for damages arises, the Participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the Participant (or parent/guardian) and the Sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel of the American Arbitration Association for the final resolution.

Permission to Treat

I hereby give permission for my student to be treated at LCCS as necessary. If a parent cannot be notified and emergency care is needed, I hereby give permission for my student to be treated or transported to the nearest hospital, and I give permission for the hospital to give emergency treatment as needed. I will assume responsibility of fees incurred by such an emergency.

yesno

Photo Release

I give LCCS permission to use photographs of my child in summer camp promotional materials including, but not limited to, website and social media.

yesno

Signature*

This electronic signature is treated by LCCS like a physical, handwritten signature on a paper form.

My Products*

Innovation Academy Camp Registration

Change the quantity to the number of innovation academy camps for which you are registering.

$105.00 Quantity

Athletic Camp Registration

Change the quantity to the number of athletic camps for which you are registering.

$105.00 Quantity

Day Camp Registration

Change the quantity to the number of full day camps for which you are registering.

$195.00 Quantity

Enter coupon

Total

$0.00

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