The Light Preparatory Academy 2026 Summer Program Registration
The Light Preparatory Academy is a Montessori Science, Technology, Reading, Arts, and Math (STREAM) school. The Summer Program is uniquely designed for students to use their creativity, curiosity, and problem-solving skills while enjoying the fun of the summer.
Student's Name
*
First Name
Last Name
Student Information
Birth Date
Please select a month
January
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Month
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Day
Please select a year
2026
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Year
Age
*
Gender
*
Male
Female
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Information
Parent 1
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent 2
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Emergency Information
Name
*
First Name
Last Name
Relationship
*
Please Select
Mother
Father
Grandparent
Aunt
Uncle
Siblings
Babysitter/Nanny
Others
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternative Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe.
*
Is your child prescribed an inhaler? If yes, please explain any instructions.
*
Please select the weeks that your child will attend the Summer Program.
Full 8 Weeks (June 8 -July 31, 2026)
Week 1: June 8, 2026
Week 2: June 15, 2026
Week 3: June 22, 2026
Week 4: June 29, 2026
Week 5: July 6, 2026
Week 6: July 13, 2026
Week 7: July 20, 2026
Week 8: July 27, 2026
Summer Program Schedule
Please select the schedule that your child will attend the Summer Program. Please note that a $100 materials fee will be assessed throughout the summer program.
*
Option A: 8:30-3:30 ($235 per week)
0ption B: 8:30-4:30 ($250 per week)
Option C: 8:30-6:00 ($285 per week)
Informed Consent and Acknowledgement
I hereby give my approval for my child’s participation in any and all activities prepared by The Light Preparatory Academy during the summer program. I understand that activities may include sports, water activities, outdoor activities, indoor field trips, and field trips to local destinations. I understand that my signature on the Summer Enrollment form is acknowledgement of the above and consent for my child(ren) to participate. In the event that I would like to exclude my child from an activity, I will provide a written note to the director at The Light Preparatory Academy.
Media Release Consent
The Light Preparatory captures photographs and video throughout the school day for the purposes of communication to parents, documentation of learning and events, and for advertising. Photographs and video may appear on social media platforms and other media outlets
I give consent for my child to participate in photographs and videos for the abovementioned reasons.
*
Yes
No
Medical Release and Authorization
As Parent and/or Guardian of the named child(ren), I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Attire
Regular school uniforms are NOT required for the Summer Program. There will be specific dates in which school t-shirts will be worn. On all other days, please ensure that your child is neatly, comfortably, and appropriately dressed for school. This includes closed toe shoes and clothing without tears or holes. We will have themed days in which students will be encouraged to dress according to the theme. During water activities, bathing suits and swim trunks are encouraged.
Confirmation
BY ACKNOWLEDGING AND SIGNING 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.
Date
*
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Month
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Day
Year
Date
Signature
*
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