Summer Registration « Lake Chautauqua Lutheran Center

Parent/Guardian Information
Name*
Prefix First Last
Address
if different from above:

Street Address Address Line 2 City State ZIP Code
Phone
Email
Cell/Day/Work Phone*

Discounts & Extras
Please check all that apply. Please see the "Discounts for You" section of our brochure for more details.
Early Bird
Payment in full must be received before 4/1/16. $10 off/Mini Camper; $15 off for all other programs except Confirmation Camp.
- Early Bird
Early Bird (Mini Camp)
Payment in full must be received before 4/1/16. $10 off/Mini Camper; $15 off for all other programs except Confirmation Camp.
- Early Bird (Mini Camp)
Bring A Friend
$100 of your registration fee when you recruit and bring a new camper to LCLC. $50 off for Mini Camp. Does not apply to Confirmation Camp or siblings. New camper must register and actually attend a week of camp.
- Bring A Friend
Bring A Friend (Mini Camp)
$100 of your registration fee when you recruit and bring a new camper to LCLC. $50 off for Mini Camp. Does not apply to Confirmation Camp or siblings. New camper must register and actually attend a week of camp.
- Bring A Friend (Mini Camp)
Friend's Name
Family
$15 off for each additional child after the first, who also registers for a program. **First child to register does not receive this discount.
Siblings Name(s)
Double Dose Program Choice
$20 off second program's full fee
Camp Store Advance*
Camper Photo
- Camper Photo
Total
$0.00

Review
Please review your information to ensure accuracy. If you need to make any changes, please do so before clicking Add to Cart.
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Summer Registration