Mr Lopez City Adventure Camp Registration Form

Mr Lopez City Adventure Camp Extended Summer Camp_Camper Registration Form (#8)

Primary Adult First Name

Primary Adult Last Name

Primary Contact Email

Primary Contact Phone Number

Secondary Contact Phone Number

Additional Approved Adult Pickups

Child 1 First Name

Child 1 Date of Birth (for accurate age)

Child 1 Health, Medical, Diet

Child 2 First Name

Child 2 Date of Birth (for accurate age)

Child 2 Health, Medical, Diet

Child 3 First Name

Child 3 Date of Birth (for accurate age)

Child 3 Health, Medical, Diet

Planned Drop Off Time

Planned Pick Up Time

Anything else we should know to support a good day?

The Best of Both Worlds: Your Ultimate Spring & Summer Play Plan!

April 25, 2026
Protected: Spring Break 2026!

April 6, 2026
Why We’re Taking a Rare Weekend Off to Recharge and Level Up

April 1, 2026

General Contact Us Form (#12)

First Name

Last Name

Email

Subject

Your Message