Little Ones For Literacy

Little Ones for Literacy

Registration

Summer Camp 2020 Registration NOW OPEN!

Questions? Please feel free to call us (484) 202-0843 or email us.

Please fill in the following information.

If you are registering more than one child, please fill in a separate registration form for each child and we will email you a confirmation along with details regarding payment and our “Meet and Greet” dates (Saturday, May 30th and Saturday, June 6th).

Thank you!

Child's First Name*

Child's Last Name*

Child's Birthday*(mm/dd/year)

Child's Gender*
MaleFemale

Grade entering in Sept 2020*
Pre-kindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeNot enrolled in a school program

Your Email Address*

School your child is attending*
PublicPrivate

My child has attended an LOFL program in the past (camp, enrichment or tutoring)*
YesNo

AM Literacy Camp (9:00 - 12:00)

Session 1: July 6 - 17
Yes

Session 2: July 20 - 24
Yes

Session 3: July 27 - 31
Yes

PM Enrichment Camp for Ages K – 6th (1:00 – 3:30)

(by checking yes, your child will be in our full-day camp option with lunch bunch included)

Session 1: July 6 - 17
Yes

Session 2: July 20 - 24
Yes

Session 3: July 27 - 31
Yes

August Tutoring

While we cannot offer August LOFL camp this summer, our teachers will be available for tutoring sessions. If this interests you, please check off the box below and we will follow up with you in more detail.


Yes, I am interested in August tutoring

Any other important information about your child (learning style, strengths, areas for growth, summer goals)

Address

Allergies/Health Issues/Current Medications

Parent/Guardian #1 Name

Parent/Guardian #2 Name

Parent/Guardian #1 Phone #

Parent/Guardian #2 Phone #

Parent/Guardian #1 Email Address

Parent/Guardian #2 Email Address

Emergency Contact Name

Emergency Contact #

Health Insurance Provider/Policy #

Approved Drivers

Driver's Name

Driver's Contact Number

Driver's Relationship

Driver's Name

Driver's Contact Number

Driver's Relationship

Driver's Name

Driver's Contact Number

Driver's Relationship

How did you hear about us?*

Camp Policies - Please click to read and check the appropriate boxes below
I have read and agree to the camp policiesYes, I grant Little Ones for Literacy permission to publish my child's photographs on the Little Ones for Literacy website and other information sources (social media, flyers, brochures, etc.). I understand that photographs may be used to promote the camp's services as well as to offer information/resources and will not include any contact information.No, I do not grant Little Ones for Literacy permission to publish my child's photographs on the Little Ones for Literacy website.