LHOI Summer Enrichment Camp 2026 Registration

LHOI Summer Enrichment Camp 2026 Registration

Welcome to the LHOI Summer Enrichment Camp 2026! We're excited for a fantastic summer filled with 6 weeks of fun, learning, friendships, and unforgettable experiences. Monday through Friday from 8 a.m. - 4 p.m. at Lincoln Heights Elementary School.
Please complete the following information

To reserve your child(ren)'s spot, this whole form must be completed, including payment. The registration deadline is May 1, 2026. Space is limited and spots will be filled on a first-come, first-serve basis.
Child's Name*

First NameLast Name
Will you be registering for more than one child?*

YesNo
Second Child's Name

First NameLast Name
Third Child's Name

First NameLast Name
Fourth Child's Name

First NameLast Name
Fifth Child's Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age (for multiple children, please list names and ages)*
Grade of '25/'26 school year (for multiple children, please list names and grades)*
School (for multiple children, if they attend different schools, please list names and schools)*
Please list what shirt size your child(ren) will need (Youth XS - Youth XL)*

Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Additional Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

Emergency Contacts
Emergency Contact Name*

First NameLast Name
Relationship to Child(ren)*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Emergency Contact Name*

First NameLast Name
Relationship to Child(ren)*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Transportation

For your child(ren)'s safety, it is important that we know how they will be transported to and from summer camp, and who is authorized to pick them up. For safety reasons, your child(ren) will not be permitted to deviate from the transportation plan you select unless we receive written notice from you in advance.
How will your child(ren) be arriving/leaving?*

WalkerCar RiderCombination
If your child(ren) is a car rider, please list who they will be dropped-off by and who they will be picked-up by:*
Please list any additional individuals authorized to transport or pick up your child(ren):*
If your child(ren) will be doing a combination of walking and car riding, please list the details:

Medical Information
Child(ren)'s Doctor*

First NameLast Name
Doctor's Office*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Doctor's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Child(ren)'s Dentist*

First NameLast Name
Dentist's Office*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dentist's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Please list your child(ren)'s allergies:*
In the event of a medical emergency, your child(ren) will be transported to the nearest hospital for care. If you have a preferred hospital, please list it below:

Photo & Media Consent Form

At LHOI Summer Enrichment Camp, photographs and video recordings may be taken of campers during activities, events, and field trips. By giving permission, I understand that these images or recordings may be used for promotional, educational, and informational purposes, including print materials, newsletters, brochures, social media, the LHOI website, and other official publications. My child(ren)'s name will not be published without additional permission, no compensation will be provided, and all images and recordings become the property of LHOI.
Please indicate your preference:*

I DO NOT give permission for my child(ren) to be photographed or recorded during camp activitiesI DO give permission for my child(ren) to be photographed or recorded during camp activities
Signature*

Field Trip & Transportation Permission Form

I give permission for my child(ren) to participate in all scheduled LHOI Summer Enrichment Camp activities, including on-site activities and off-site field trips. I understand that my child(ren) will be transported to and from field trip locations by authorized LHOI approved transportation. I acknowledge that reasonable safety precautions will be taken at all times to ensure the well-being of all campers. In the event of an emergency, I authorize LHOI staff to seek appropriate medical treatment for my child(ren) and understand that I will be contacted as soon as possible.
By signing below, I grant permission for my child(ren) to attend and be transported to and from all camp-related activities and field trips.*

Payment

The cost is $35 per camper. We offer a family discount of $35 for the first camper, and $25 for each additional camper in the same family. ***PLEASE NOTE!*** If paying by check or cash, the camper's spot is not reserved until payment is received.

Payment*

Paying by Check or Cash

ONLY CHECK THIS OPTION if paying by check or cash. Please drop off/mail to:

9913 Wayne Ave, Cincinnati, OH 45215.

$ Free

First Camper

$35.00 Quantity
Item subtotal:$0.00

Additional Camper(s)

$25.00 Quantity
Item subtotal:$0.00

Extra Shirt(s)

Registration includes one shirt per camper. This option is if you would like to purchase additional shirts.

$10.00

Total

$0.00

Please complete the following information