Children: Yearly Camps: Summer Keyboarding For Kids: Registration

Complete the below form to register for LDATD’s 2024 Summer Camp!

Step 1 of 4

Child's Name(Required)

First Last

Date of Birth(Required)

Month

Day

Year

Month/Date/Year

Age(Required)

Grade (as of Sept. 2023)

School attending in September 2023:

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent's Name(Required)

First Last

Home Phone(Required)

Cell Phone(Required)

Work Phone

Email(Required)

Parent's Name(Required)

First Last

Home Phone(Required)

Cell Phone(Required)

Work Phone(Required)

Email(Required)

Marital Status

Who does the child reside with?(Required)

Who has custody of the child?(Required)

Siblings Names and Ages:

Emergency Contact(Required)

First Last

Please list someone other than parents listed above who would be available during program time.

Relation to Child(Required)

Emergency Contact Number(Required)

Who will be picking up and dropping off the child?(Required)

If other please list name:

First Last

Phone

Children/ Youth ages 17 & under will not be authorized to leave on their own without prior written parental consent:(Required)

Re-Registration for Online Programs

Children: Smart Kidz Tutoring: Registration

Children: Assistive Technology: Registration

Children: Keyboarding for Kids: Registration

Children: Friendship Club: Registration

Children: Yoga & Mindfulness: Registration

Children: Yearly Camps: March Break Keyboarding For Kids: Registration **REGISTRATION CLOSED FOR 2024

Children: Yearly Camps: March Break Friendship Club: Registration **REGISTRATION CLOSED FOR 2024

Children: Yearly Camps: Summer Friendship Club: Registration

Children: Yearly Camps: Summer Yoga & Mindfulness: Registration

Youth: Befriend: Registration

Youth: Y.I.E.L.D (Youths’ Initiative and Excellence with LD’s): Registration

Youth: H.I.R.E. (Youth Help in Reaching Employment): Registration

Youth: Smart Kidz Tutoring Registration

2021 In-Person Program Waitlist

Youth: Y.E.L.P (Youth Empowerment & Leadership Program): Registration

Youth: Typing for Teens: Registration

Youth: Yoga & Mindfulness: Registration