LCS Summer Academy - Junior Day Camp Registration
Student Details
Student Legal First Name:
Field is required
Student Preferred First Name:
Student Last Name:
Field is required
Student Gender:
Select a gender
Male
Female
Non-Binary
Other
Field is required
Student Date of Birth:
Field is required
Grade Entering in September:
Select a grade
Grade 6 & Under
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Post Secondary
Field is required
Student Home Address
Address Line 1:
Field is required
Address Line 2:
City:
Field is required
Country:
Field is required
Province/State:
Field is required
Postal/ZIP Code:
Field is required
Parent/Guardian Contact(s)
Primary Parent/Guardian
Relationship to Student:
Select Relationship
Mother
Father
Stepmother
Stepfather
Aunt
Uncle
Guardian
Grandmother
Grandfather
Field is required
Legal First Name:
Field is required
Preferred First Name:
Last Name:
Field is required
Personal Phone Number:
Field is required
Personal Email Address:
Field is required
+ Add Secondary Parent/Guardian
+ Add Consultant/Agent
School Records
Please supply a digital copy (PDF) of the most recent final (end-of-year) report card.
Recent Report Card:
No file chosen
Field is required
Accepts: PDFs, Max File Size: 5 MB.
Registration Information
Who is submitting this form?:
Select
Field is required
Ensure all required first/last name fields are filled.
Submit
Privacy Policy