School’s Out For The Summer!

If you’re interested in your child enrolling in one of our incredible summer camps, please fill out the form below.

Choose the camp your child is signing up for:

Child's Name

First Name

Last Name

Child's DOB

MM

DD

YYYY

Parent or Guardian Name

First Name

Last Name

Parent or Guardian Phone No.

(###)

###

####

Child's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Emergency Contact #1

First Name

Last Name

Relationship

Emergency Contact #1 Phone

(###)

###

####

Emergency Contact #2

First Name

Last Name

Relationship

Emergency Contact #2 Phone

(###)

###

####

Other adults allowed to pick up child (Valid I.D. required)

Permission to use child's image on CLC media?

Yes

No

Line

Child's allergies and/or medical conditions

Has your child been in school or daycare before?

Yes

No

Please tell us a little about their experience.

Do you have any concerns about your child you think we should know about? Please describe.

After application submission, please use the QR code to pay a non-refundable $30 deposit per child. No form will be reviewed without payment.