FunCamp 2018 Registration

Early Childhood Registration Form

Registration Deadline - April 1, 2018

(One form per child)

Emergency Contact Information

1st Choice:

2nd Choice:

Release and Consent

My child is under my control and custody. I authorize The Lamplighter School and its representatives to consent to medical treatment of my child in case of an illness or injury in connection with a school activity if the parents cannot be reached after a reasonable attempt to do so has been made. Such emergency treatment is to be administered by such physicians, medical personnel, hospitals, and/or clinic as may be selected by The Lamplighter School or its representatives. I understand the risks of such emergency treatment, and I hereby release and hold not liable The Lamplighter School, its trustees, agents, and/or employees from all liability which may arise from such treatment.

The typed name below serves as a signature.

Pre-Kindergarten - Kindergarten


  • Camp fee is $500 per two week session (8:00 am-12:00 pm) and will not be refunded after April 1st.
  • For new Lamplighter students, one session of camp is included in your New Student Fee
Questions regarding camp may be directed to:

Cheryl Shulman

214-369-9201  Ext. 309