150 State Street, Louisville, KY 40206 5028930346

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United Learning Summer Camp Application

Thank you for your interest in the 2024 United Learning Summer Camp . We are pleased to offer a number of fun and interactive camps for children. Camp is open to  all children and youth in grades 1-8 during June 10-June 14, after that date camp will only be eligible for JCPS in grades 1-8 due to our partnership with Evolve502’s Backpack league. Please submit an application for each child you wish to enroll in the 2024 United Learning Summer Camp. *Grades of eligibility are based on the 2023-2024 school year.*

Important Information about the United Learning Camp program:

  • Camp runs 9:30am – 2:30pm daily at UCHM (150 South State Street, Louisville, KY 40206)
  • Drop off is between 9:15am – 9:30am, Pick-up by 2:30pm.
  • We provide lunch and a snack.

We collect this information for grant reporting purposes.

Emergency Contact Information

Additional Persons Authorized to Pick-up My Child

Medical Information

These forms can list supports children use in schools to help them learn and strategies to help teachers understand behaviors.
Include nasal/respiratory, food, skin, any other your child has and please indicate the severity.

Camper Information

Please enter the grade that the child will be entering in the 2023-2024 school year. Children must have completed Kindergarten to be eligible for camps.
We collect this information for grant reporting purposes. Selection is optional if you wish not to identify.

Consent/Release

By checking each box you are providing your consent/release for each item.

Camp Fee

https://www.uchmlouky.org/get-involved/give/ Use this link to pay the $75 Registration Fee per child enrolled.