LCS Summer Camp Registration Form

LCS Summer Camp Registration Form

Topics are subject to change based on enrollment and staffing.
Parent Information
Guardian 1 Name

First NameLast Name
Guardian 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Guardian 1 Email
example@example.com
Guardian 2 Name

First NameLast Name
Guardian 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Guardian 2 Email
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Estimated Cost of Program

(Enrolled Students with a Parent Volunteer also attending receive a No-Charge Enrollment for the days the Parent is scheduled to volunteer.)
1 Student
2 Students
Are you interesting in Volunteering during the Summer Program?
Consent & Waiver
Medical Treatment Authorization
I authorize emergency medical treatment for my child
Liability Waiver
I agree to the liability waiver terms
Photo/Video Permission
Registration Fee & Payment Acknowledgment
I acknowledge the registration fee and payment terms
E-signature
Date Signed

MonthDayYear
Date
Thank you for Registering for Legacy Christian School Summer Camp.

Let us know if you have any questions. Below you will see the planned cost for the summer program based on the sessions of enrollment. You will receive an email regarding information about payment. Be sure to check your in box.

Submit your application by clicking below.
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Parent Information