The Children's Corner Summer Camp 2026 (Early Preschool 1 and older)
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Child's grade level for the upcoming school year:
*
Pre-K
Kindergarten
1st
Other
Parent Name:
*
First Name
Last Name
Parent Email:
*
example@example.com
Parent Phone Number:
*
Please enter a valid phone number.
Format: (000) 000-0000.
Second Contact (phone number required below, can be a second parent or other)
*
First Name
Last Name
Second Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent 2 Name:
Parent 2 Email:
example@example.com
Parent 2 Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Days:
*
Monday- Friday (5 days a week)
Monday/Wednesday/Friday (3 days a week)
Tuesday/Thursday (2 days a week)
Hours per day (All Day - can pickup/drop off anytime between those hours):
*
All day (7:30am-4:30pm)
Half Day Early Preschool 2 class and under (9:00am-12:30pm) Preschool class and older (9:00am-1:00pm)
Weeks:
*
Week 1: June 29 -July 3 (Closed Friday, July 3)
Week 2: July 6 -July 10
Week 3: July 13 -July 17
Week 4: July 20 -July 24
Week 5: July 27 -July 31
Week 6: August 3 - August 7
Week 7: August 10 - August 14
Week 8: August 17 - August 21
Week 9: August 24 - August 27 (Closed Friday, August 28)
How did you hear about The Children's Corner?
*
Please Select
Returning Student
Friend/Family Referral
Internet Search
Drove by
Social Media (Facebook, etc)
Publication Ad
Liberty Corner School PTO (TCC is a proud LCS PTO sponsor)
Other (please indicate in notes below)
Does your child have any allergies?
*
Yes, please include Allergy Action Plan to be completed with enrollment paperwork
No
Are there any custody arrangements we need to be aware of?
*
Yes, details and court documents will be provided with the enrollment paperwork
No
If there is any additional information you wish to share with us regarding your registration, please use the box below.
Signature
*
Submit
Should be Empty: