ZION LUTHERAN
SCHOOL & EARLY CHILDHOOD CENTER
2026 Summer Camp Registration
Please complete this form and submit it to the ECC Office. After
the form is reviewed, you will be notified by email on how to
proceed with enrollment.
Registration/Enrollment Fee is $75.
Child's Name:
D.O.B.
-
Month
-
Day
Year
Date
Sex:
F
M
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mom's Name:
First Name
Last Name
Cell Phone#
Format: (000) 000-0000.
Dad's Name:
First Name
Last Name
Cell Phone#
Format: (000) 000-0000.
Mom's email
example@example.com
Dad's email
example@example.com
Check the camp you wish to enroll your child in below:
JR CAMP (Age 2 and 3)
SR ( Age 4 and 5)
Day CAMP (2026 Kindergarten & Up)
Parent Signature:
Preview PDF
Submit
Should be Empty: