Camp Dragon - U.S. Student Participant Registration

camp dragon 2016

Please note that applications are accepted on a first-come, first-served basis up to the first 30 students. You will receive a confirmation email when your application is accepted. Students who have completed 5th grade are eligible to participate.

Student Name*
Please enter the Student's Name.

Age*
Please enter the Student's Age.

Date of Birth*
Please enter the Student's Date of Birth.

Parent First and Last Name(s)*
Please enter Parent First and Last Name(s).

Parent Phone*
Please enter your Phone Number.

Parent Email*
Please enter your Email Address.

Student Mobile Phone (if applicable)
Please enter Student's Mobile Phone Number.

Address*
Please enter your Address.

City*
Please enter your City.

Zip*
Please enter your Zip Code.

Emergency Contact Name and Phone*
Please enter Emergency Contact Name and Phone.

Allergies
Please enter Emergency Contact Name and Phone.

Language Experience
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Fee Payment

Required within one week of application submission or contact LILA to make other arrangements.

Please choose one:*

Please choose one.

Mail checks to:
LILA Camp Dragon
Lakes International Language Academy
246 11th Ave. S.E., Forest Lake, MN 55025


Anti-Spam Code*
Anti-Spam Code
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