Love for Learning Online Registration

Registration

Hi Love for Learning! We are so excited for Summer Camp 2024! It is sure to be a summer full of fun and excitement! Register soon as camps fill quickly and spaces are limited! Our camps are offered weekly in June and July 1-3. Registration fees are due upon registration and are non-refundable.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

Email* (Emails are kept confidential)

Confirm Email*

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Please click on the Search button below, then choose the camp. If camp you want isn't showing, go back to the home page for either Half-Day, Full-Day or All-Star camps and click register from there.

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Please click on the Search button below, then choose the camp. If camp you want isn't showing, go back to the home page for either Half-Day, Full-Day or All-Star camps and click register from there.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Please click on the Search button below, then choose the camp. If camp you want isn't showing, go back to the home page for either Half-Day, Full-Day or All-Star camps and click register from there.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Please click on the Search button below, then choose the camp. If camp you want isn't showing, go back to the home page for either Half-Day, Full-Day or All-Star camps and click register from there.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date*

Additional Info

Allergies (Leave blank if NONE)

Please click on the Search button below, then choose the camp. If camp you want isn't showing, go back to the home page for either Half-Day, Full-Day or All-Star camps and click register from there.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Please fill out CREDIT CARD Payment Method

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip*

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Registration

Referral Information

Family Information

Where do you live?

Contact #1

How Can We Contact You?

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)