Child's InformationChild's NameDate of BirthDoes your child have any allergies?YesNoIf yes, please list them:School Currently AttendingGrade in Fall 2025Parent / Guardian InformationMother / Guardian Full NamePhone NumberEmail AddressFather / Guardian Full NamePhone NumberEmail AddressEmergency Contact (Other than Parent/Guardian)Full NamePhoneRelationship to ChildSummer Camp Program (Ages 7-10)Full Day (Craft Only)Half Day (Craft Only)Do you want after care? (FD)4.00 - 5.30 pmYesNoHalf Day TimesMorning (9-12pm)Afternoon (1-4pm)Do you want after care?4.00 - 5.30 pmYesNoSummer Camp Weeks (Check all that apply)Week 5: 30 – 3 JulyWeek 6: 7 – 11 JulyWeek 7: 14 – 18 JulyWeek 8: 21 – 25 JulyWeek 9: 28 – 1 AugustTotalSend Message Your registration will not be complete until we receive your payment for the total amount of tuition. Thank you for sending your payment with Zelle from your banking institution using the email: info.lolasol@gmail.com