Camp Dragon - U.S. Student Participant Registration

Note: Student registraiton and Host Family registration are two separate forms. After submitting the student form, submit the Host Family form if you wish to host a Chinese camper.

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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.

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.

Please enter your Address.

Please enter your City.

Please enter your Zip Code.

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

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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