Contact Us

serviceformhead

Name of Parent/Guardian

Primary Phone Number

 cell work home

Secondary Phone Number

 cell work home

Email

What session are you presently interested in?

 School Year Summer Camp

School Year Service Type:

Summer Camp Service Type:

How soon would you like service?

How many children will need service?

Check child or children's current grade(s):  kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade

Please select your child's school (if more than one, your youngest child's):

If other, please provide name of school below (note: we currently receive before & after school busing for Susquehanna Township residents only):

Please let us know how you heard about us


 

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For any other request, questions, comments, or concerns please contact us  at hello@laingyouthclub.com.