United Learning Summer Camp Application

Thank you for your interest in the 2019 United Learning Summer Camp. We are please to offer a number of fun and interactive camps to children in grades K-8. Please submit an application for each child you wish to enroll in the 2019 United Learning Summer Camp.

Important Information about the United Learning Camp program:

  • Camp runs 9:00am – 4:00pm daily at UCHM (150 South State Street, Louisville, KY 40206)
  • Drop off is between 8:45am – 9:00am, Pick-up is between 3:45-4:00pm.
  • The cost of the camp is $100 per week. Financial assistance is offered.
  • Campers bring a sack lunch, snack provided
  • Payment is due at the time of application unless you are submitting an application for financial assistance.
We collect this information for grant reporting purposes.
Financial assistance is offered on a case-by-case basis. A UCHM staff member will contact you to complete an application.

Emergency Contact Information

Additional Persons Authorized to Pick-up My Child

Medical Information

Include nasal/respiratory, food, skin, any other our child has and please indicate the severity.

Camper Information

Please enter the grade that the child will be entering in the 2019-2020 school year. Children must have completed Kindergarten to be eligible for K-3 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.
The United Learning Summer Camp includes 2-3 field trips per week. If you wish that your child not attend field trips, we cannot guarantee that we will have a staff member to remain on site during field trips.

Payment

$ 0.00