2026 LCA Summer Camp Field Trip Form
Week #1 - Week #6
Camper Name
*
First Name
Last Name
Activity: SkyZone Date: Wednesday 6/17/2026 Departure Time: 9am Cost: $0 Make sure to complete waiver at: https://waiver.haveablast.roller.app/SkyZoneCutlerBay/home?ubid=aW4sCN8d-Eih67M466SpTg Lunch will be provided after we return to Colonial Drive Park.
*
Yes
No
Activity: Launch Date: Wednesday 6/24/2026 Departure Time: 9am Cost: $0 Bring socks and lunch will be provided after we return to Colonial Drive Park. Waiver: https://waivers.adv.centeredge.io/age-verification?siteid=51e9ed73-88fc-4052-bfa9-3d8d6c96e047&returnUrl=https:%2F%2Flaunchdoral.centeredgeonline.com
*
Yes
No
Activity: Bird Bowling Date: Wednesday 7/1/2026 Departure Time: 9am Cost: $0 Bring socks and lunch will be provided after we return to Colonial Drive Park.
*
Yes
No
Activity: Venetian Pool Date: Wednesday 7/8/2026 Departure Time: 9am Cost: $0 Bring towel, swimwear, sunscreen, at least one (1) bottle of water with your child's name printed on it and a change of clothes. Cold lunch will be provided at water park.
*
Yes
No
Activity: C.B. Smith Paradise Cove Water Park Date: Wednesday 7/15/2026 Departure Time: 9am Cost: $0 Bring towel, swimwear, sunscreen, at least one (1) bottle of water with your child's name printed on it and a change of clothes. Cold lunch will be provided at water park.
*
Yes
No
Activity: Urban Air Date: Wednesday 7/22/2026 Departure Time: 9am Cost: $0 Wear socks - Each camper will receive two hours of trampolines, battle beams, drop zone, wipe-out, pro-zone, basketball, dodge ball, runway track and socks. Pizza and water will be provided at Urban Air. Complete and sign waiver at: https://booking.urbanairparks.com/waiver?confirmation=1346755-aabwxq12
*
Yes
No
I do hereby release Knowledge Builders of Florida, Inc. from all Liability for any accident or injury that might be sustained through my child’s participation in this activity. I authorized medical treatment for my child in case of an accident or illness while on trip.
*
List any Allergies
*
Yes
No
Other
List any Medical Conditions
Parent's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
OTHER CONTACT PERSON IN CASE OF EMERGENCY:
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Submit
Should be Empty: