Summer 2026 Elementary Camp Interest & Pre-Registration
For Little Ones Love to Learn, Lafayette, Louisiana. Complete this form to express interest and pre-register your rising 1st–5th grader for our summer camp.
Parent Information
Please provide your contact details below.
Parent/Guardian Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Preferred Contact Method
*
Phone
Email
Text Message
Other
Student Information
Tell us about your child.
Child’s Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Current Grade (2025–2026 School Year)
*
Please Select
Rising 1st Grade
Rising 2nd Grade
Rising 3rd Grade
Rising 4th Grade
Rising 5th Grade
School Currently Attending
*
Allergies or Medical Concerns (if any)
Does your child have an IEP or receive Academic Support?
Yes
No
Not Sure
Section 3: Program Interest
Select program interest
Option 1
Option 2
Option 3
Section 4: Logistics
Does your child require before or after care?
Before care 7:30 am-9 am
Aftercare 3:00 pm -5:30 pm
Neither
Emergency Contact Name & Phone
Section 5: Enrollment Intent
Enrollment Intent
*
I am ready to register when enrollment opens
Type option 2
I would like pricing details
I am comparing summer options
I understand this form does not guarantee placement and enrollment is limited.
*
Date
*
-
Month
-
Day
Year
Date
Submit Pre-Registration
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