Spring Camp Registration Form

LMS 2025 Spring Camp Registration
CHILD INFORMATION:
Child's English Name*

First NameLast Name
Child's Chinese Name
Birth Date*

MonthDayYear
Date
Gender*

MaleFemale
Child's Age*
Grade*
Chinese Learning*

Traditional ChineseSimplified ChineseCSL (Chinese as Second Language)Never learn Chinese
PARENT/GUARDIAN INFORMATION:

* Must enter one parent's/Guardian's information
Father's Name

First NameLast Name
Father's Mobile Number
Please enter a valid phone number.
Father's Email
example@example.com
Mother's Name

First NameLast Name
Mother's Mobile Number
Please enter a valid phone number.
Mother's Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MEDICAL INFORMATION:
Physician's Name*

First NameLast Name
Phone Number*
Any allergies or health condition concerns (Please specify)*
Camp Selection:

Please check the day(s) for which you would like to register
Monday, 4/14/2025

All Day (9:00 AM - 6:00 PM)AM Only (9:00 AM - 2:30 PM)PM Only (2:30 PM - 6:00 PM)
Tuesday, 4/15/2025

All Day (9:00 AM - 6:00 PM)AM Only (9:00 AM - 2:30 PM)PM Only (2:30 PM - 6:00 PM)
Wednesday, 4/16/2025

All Day (9:00 AM - 6:00 PM)AM Only (9:00 AM - 2:30 PM)PM Only (2:30 PM - 6:00 PM)
Thursday, 4/17/2025

All Day (9:00 AM - 6:00 PM)AM Only (9:00 AM - 2:30 PM)PM Only (2:30 PM - 6:00 PM)
Friday, 4/18/2025

All Day (9:00 AM - 6:00 PM)AM Only (9:00 AM - 2:30 PM)PM Only (2:30 PM - 6:00 PM)
Dear Parents,

Thank you for registering your child(ren) for our Spring Camp! Please use the Zelle payment method to pay your child(ren)ʼs Spring Camp tuition:

Zelle Payment account – lmscampus@gmail.com for sending money.

If you have any questions, please donʼt hesitate to contact us.

Monday through Friday 3:00 PM-6:00 PM

Office: (408) 725-2568 (text message available)

Email: lmscampus@gmail.com

Sincerely,

The LMS Team
I HAVE READ THE ABOVE CAREFULLY AND HAVE FULLY UNDERSTOOD THE CONTENT AND CONSEQUENCES OF THESE AGREEMENTS BEFORE SIGNING.
Signature*

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LMS 2025 Spring Camp Registration

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

MEDICAL INFORMATION:

Camp Selection: