• Update Student Information and Select Camp Session

    Update Student Information and Select Camp Session

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    Before beginning, make sure you have the following information:

    • Contact information for all parents/guardians and an emergency contact
    • Your student's t-shirt size and sandwich choice (ham, turkey, or vegetarian)
    • A digital copy or picture of the front and back of your student's health insurance ID card
    • A digital copy or picture of your student's most recent grade report.

  • Section 1: Update Contact Information

  • Student

  • Has your mailing address changed since last summer?*
  • Will your child require all meals to be vegetarian?*
  • Will your child require all meals to be gluten-free?*

  • Parent/Guardian(s)

  • Has any parent/guardian contact information changed since last summer? (Names, email addresses, phone numbers, etc.)*

  • Parent/Guardian 1

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Parent/Guardian 2

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Additional Emergency Contact

    This should be someone other than a parent or guardian.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Consent to Include in Directory

  • At the end of each session, participants receive a program directory to help them stay in touch with new friends. Students are included only with parent/guardian permission. The directory lists each student’s name and cell phone and/or email address. If a student doesn’t have a cell phone or email, parents often provide their contact information instead. The directory is shared only with students from the same session and is never sold or shared outside the group.

  • Would you like your student's contact information to be included in their session's directory?*
  • What contact information would you like to include?*
  • Format: (000) 000-0000.

  • Section 2: Update Academic Information

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  • Section 3: Update Health Information

  • Does your student have health insurance?*

  • Temporary Insurance Information

  • Health insurance is required for participation in the Lone Star Leadership Academy. If your student does not currently have medical insurance, Education in Action can provide you with information about short-term travel insurance. If you are not able to complete the acknowledgement below, please call our office at 817-562-4957 ext. 104 before proceding.

     


     LONE STAR LEADERSHIP ACADEMY

    HEALTH INSURANCE ACKNOWLEDGEMENT

    Education in Action requires all Lone Star Leadership Academy participants to have health insurance for the duration of their program.

    Education in Action will provide information about a low-cost travel insurance plan which provides emergency medical coverage during the program and meets the requirements of the Lone Star Leadership Academy. You are also welcome to find your own source of coverage.

    Education in Action will email you approximately four weeks prior to the start of your student's camp with instructions for purchasing the travel insurance plan or providing proof of coverage through another source.

  • Acknowledgement

    Please initial each of the statements below:

  • Health Insurance

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  • Student Health Information

  • Are your student's state-mandated vaccines up-to-date?*
  • Does your student have any allergies we should be aware of (other than seasonal allergies)?*

  • Please Note: After submitting this form, you will be redirected to our Allergy Action Plan form to complete for your student.

  • Does your student have asthma?*
  • Will your student bring an inhaler to the program?*
  • Does your student have any special dietary needs?*
  • Does your student have a physical disability, hearing impairment, or vision impairment that will require special assistance or arrangements?*
  • Is there any other reason your student may require special assistance or arrangements, or is there anything else the program staff should be aware of?*

  • Section 4: Select a Session

    Placement will be confirmed via email. After April 25, 2027, a $65 administrative fee will be required to change sessions.

  • Select Location

  • 2027 Program Location*

  • Select Session

  • Every effort will be made to place your student in their first-choice session.

    Providing a second choice will prevent a delay in confirming your student's placement if your first choice is not available.

    If your student would like to be scheduled for the same session as another student, please send your request via email to admissions@educationinaction.org.

  • First choice:*
  • Second choice:*
  • Should be Empty: