Lingo Dice Summer Camp 2026 Flexible Registration

Parent/Guardian Name *

First

Last

Parent/Guardian phone number *

Email *

Camper Name *

First

Last

Date of Birth *

Emergency Contact Name *

First

Last

Emergency Contact phone number *

Are there any allergies, health concerns, or special needs we should be aware of? *

Choose the Group *

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

Choose Your Camp Days *

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)? *

✅ Yes, I give permission
❌ No, I do not give permission

Checkout *

needs phone

I, the undersigned parent or legal guardian, confirm that I have read, understood, and agree to the Lingo Dice Policies and Terms available at www.lingodice.com/terms-and-conditions *

I agree