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Parent/Guardian Name
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Parent/Guardian phone number
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Email
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Camper Name
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First
Last
Emergency Contact Name
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First
Last
Emergency Contact phone number
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Are there any allergies, health concerns, or special needs we should be aware of?
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Choose the camp area
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Roseville Camp
Elk Grove Camp
Parent/Guardian and Emergency
Choose the group
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Group 1: Grades K – 2 | Mon – Fri 9:00 AM – 2:00 PM
Group 2: Grades 3 – 6 | Mon – Fri 9:00 AM – 2:00 PM
Total
$0.00
Do you allow Lingo Dice to use photos/videos of your child only for the institute marketing purpose (website, flyers, and social media)?
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✅ Yes, I give permission
❌ No, I do not give permission
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I, the undersigned parent or legal guardian, confirm that I have read, understood, and agree to the Lingo Summer Camp 2026 Policies and Terms.
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