L4L Summer 2021 Transition Camp - The Learning Spectrum

Student Name *

First

Last

Age *

Grade Level *

Parent/Guardian *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Student T-Shirt Size *

Summer Transition Camp $750 Material Fee + $2,250 Camp Fee

*Non-refundable Registration Fee Due Upon Registration

Home School Location: Choose One *

Student Pick Up at 8am and drop off at 3:30 PM at respective home school site.

Total Paid *

$0.00

*Non- Refundable Registration Fee MUST Be Paid with Registration

By Initialing this Form I understand that This is a Binding Non-Refundable Fee. *

Registration for current families open until March 1st - Public Registration Open March 2nd - 31st.

Funding Source *

*** Families wishing to utilize waiver funding MUST contact Shelly Ehmann before registering.*** sehmann@thelearningspectrum.com