2026 Summer Day Camp Interest Form
The Salvation Army Long Beach Red Shield | 3000 Long Beach Blvd., Long Beach, CA 90807
Parent/Guardian Name - Nombre de padre/guardián
*
First Name
Last Name
Parent/Guardian Email - Correo Electrónico de padre/guardián
*
example@example.com
Parent/Guardian Phone Number - Número de teléfono de padre/guardián
*
Please enter a valid phone number.
Format: (000) 000-0000.
Youth Information - Youth must be in kindergarten and up to 8th grade | Información sobre el niño/a - Niños/as deben estar entre el kindergarten y el 8 grado
Payment Preferences
I would like to pay in person (Options: Cash, Card, Check)
I would like to pay online (Payment Link will be provided once this form is submitted and will be included in submission email)
Submit
Should be Empty: