Club Registration

Register for Summer Camp or our After School Program using form below or in-person.

Registration is for After School Program, Summer Camp & Holiday Camps Los Angeles Boys & Girls Club located in the Lincoln Heights area of Los Angeles at 2635 Pasadena Avenue, Los Angeles, CA 90031.

After School Program

Registration: Children/teens may be registered at any time
Enroll: Join the Club!
- Simply complete the membership/registration online using form below or in person
- Submit required documents (address verification, income verification, school report card)
- Pay fee
Start Date: Children/teens may start as soon as registration is completed, all required documents are submitted and a payment is completed.

[Summer Camp] New Heights Adventure Camp: June 15 – July 31, 2026

Enter your income level in Registration Form below to view fees with sliding scale
Apply for one or more weeks at a time.
About the Camp

*Additional discounts and scholarships available*

For more information, contact us at info@labgc.org or (323) 221-9111.

Club Registration Form

Family Information
Parent/Guardian #1 Name*
First Last
Parent/Guardian #1 Phone*
Parent/Guardian #1 Email
Parent/Guardian #1 Address*
Street Address Address Line 2 City State ZIP Code
Parent/Guardian #2 Name
First Last
Parent/Guardian #2 Phone
Parent/Guardian #2 Email
Parent/Guardian #2 Address
(If different than first address)

Street Address Address Line 2 City State ZIP Code
Annual Household Income*
Number of Individuals in Household*
Child Information
Child #1 Name*
First Last
Child #1 Age*
Child #1 Date of Birth*
MM slash DD slash YYYY
Child #1 Medical Conditions*
- Heart
- Respiratory
- Allergies
- Seizures
- Hi/Lo Blood Pressure
- Orthopedic
- Diabetes
- None of the above
Child #1 Special Needs*
- ADD/ADHD
- Learning Disability
- Autism/Asperger's
- Developmental Delays
- DHH
- Visual Impairment
- Emotional/Behavioral
- OHI - Other Health Impairment
- None
Child #1 Health Insurance Carrier
Child #1 Health Insurance Policy #
Child #1 - Does your child currently require any medication?*
- Yes
- No
Child # 1 - Medications and dosage required*
Child #1 - Does your child have any allergies?*
- Yes
- No
Child #1 Allergies*
I will provide an Epi Pen*
- Yes
- No
Child #1 Special dietary exclusions/needs
Would you like to enroll a second child?*
- Yes
- No
Child #2 Information
Child #2 Name*
First Last
Child #2 Age*
Child #2 Date of Birth
MM slash DD slash YYYY
Child #2 Medical Conditions*
- Heart
- Respiratory
- Allergies
- Seizures
- Hi/Lo Blood Pressure
- Orthopedic
- Diabetes
- None of the above
Child #2 Special Needs*
- ADD/ADHD
- Learning Disability
- Autism/Asperger's
- Developmental Delays
- DHH
- Visual Impairment
- Emotional/Behavioral
- OHI - Other Health Impairment
- None
Child #2 Health Insurance Carrier
Child #2 Health Insurance Policy #
Child #2 - Does your child currently require any medication?*
- Yes
- No
Child #2- Medications and dosage required*
Child #2 - Does your child have any allergies?*
- Yes
- No
Child #2 Allergies*
I will provide an Epi Pen*
- Yes
- No
Child #2 Special dietary exclusions/needs
Would you like to enroll a third child?*
- Yes
- No
Child #3 Information
Child #3 Name*
First Last
Child #3 Age*
Child #3 Date of Birth*
MM slash DD slash YYYY
Child #3 Medical Conditions*
- Heart
- Respiratory
- Allergies
- Seizures
- Hi/Lo Blood Pressure
- Orthopedic
- Diabetes
- None of the above
Child #3 Special Needs*
- ADD/ADHD
- Learning Disability
- Autism/Asperger's
- Developmental Delays
- DHH
- Visual Impairment
- Emotional/Behavioral
- OHI - Other Health Impairment
- None
Child #3 Health Insurance Carrier
Child #3 Health Insurance Policy #
Child #3 - Does your child currently require any medication?*
- Yes
- No
Child #3- Medications and dosage required*
Child #3 - Does your child have any allergies?*
- Yes
- No
Child #3 Allergies*
I will provide an Epi Pen*
- Yes
- No
Child #3 Special dietary exclusions/needs
Would you like to enroll a fourth child?*
- Yes
- No
Child #4 Information
Child #4 Name*
First Last
Child #4 Age*
Child #4 Date of Birth*
MM slash DD slash YYYY
Child #4 Medical Conditions*
- Heart
- Respiratory
- Allergies
- Seizures
- Hi/Lo Blood Pressure
- Orthopedic
- Diabetes
- None of the above
Child #4 Special Needs*
- ADD/ADHD
- Learning Disability
- Autism/Asperger's
- Developmental Delays
- DHH
- Visual Impairment
- Emotional/Behavioral
- OHI - Other Health Impairment
- None
Child #4 Health Insurance Carrier
Child #4 Health Insurance Policy #
Child #4 - Does your child currently require any medication?*
- Yes
- No
Child #4- Medications and dosage required*
Child #4 - Does your child have any allergies?*
- Yes
- No
Child #4 Allergies*
I will provide an Epi Pen*
- Yes
- No
Child #4 Special dietary exclusions/needs
Permissions & Releases
Does your Child #1 (12 yrs or older) have permission to walk home?*
- Yes, I authorize my Child #1 named above to depart from the Club and walk home. I am aware that once my child leaves the club facility, there is no adult supervision and I accept all associated risks.
- No I do not authorize my Child #1 named above to walk home.
Does your Child #2 (12 yrs or older) have permission to walk home?*
- Yes, I authorize my Child #2 named above to depart from the Club and walk home. I am aware that once my child leaves the club facility, there is no adult supervision and I accept all associated risks.
- No I do not authorize my Child #2 named above to walk home.
Does your Child #3 (12 yrs or older) have permission to walk home?*
- Yes, I authorize my Child #3 named above to depart from the Club and walk home. I am aware that once my child leaves the club facility, there is no adult supervision and I accept all associated risks.
- No I do not authorize my Child #3 named above to walk home.
Does your Child #4 (12 yrs or older) have permission to walk home?*
- Yes, I authorize my Child #4 named above to depart from the Club and walk home. I am aware that once my child leaves the club facility, there is no adult supervision and I accept all associated risks.
- No I do not authorize my Child #4 named above to walk home.
This field is hidden when viewing the form
Does your child have your permission to swim at summer camp?
- Yes, my child has my permission to swim at summer camp.
- No, my child does not have my permission to swim at summer camp.
Student Records Release*
- I give permission for Los Angeles Boys & Girls Club to retrieve my child's school records and for my child's school to release all records including grades, attendance, behavior and academic performance for the purpose of program and child outcome evaluation.
Liability and Photo Release*
- I have read and consent to the Los Angeles Boys & Girls Club Release and Waiver of Liability and Indemnity Permission and Medical Agreement.
COVID-19 Waiver*
- I have read and consent to the Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19.
Additional Contacts
Emergency Contact & Authorized Pickup #1*
(In case of emergency and the parents cannot be reached)
First Last
Phone - Emergency Contact & Authorized Pickup #1*
Emergency Contact & Authorized Pickup #2*
First Last
Phone - Emergency Contact & Authorized Pickup #2*
Emergency Contact & Authorized Pickup #3*
First Last
Phone - Emergency Contact & Authorized Pickup #3*
Is there anyone who is UNAUTHORIZED to pick up your child(ren) from summer camp?*
- Yes
- No
Please enter the name(s) of the individual(s) that are UNAUTHORIZED to pick up your child(ren).
Select Weeks for After School Program
Your final weekly payment amount will be determined upon income verification when you complete your registration. Our weekly fees range from $15-$50 per week based on family income.
TO FINALIZE YOUR CHILD'S REGISTRATION AND ENSURE YOUR CHILD'S SPACE IS RESERVED, PLEASE UPLOAD COPIES OF THE FOLLOWING DOCUMENTS AND PAY THE APPLICABLE FEE:
1. Income Verification
2. Date of Birth (DOB) Verification
3. Address Verification
4. Recent Photo of Child
5. Copy of Parent ID
Upon submission of the above documents Club staff will verify annual income and confirm the weekly rate. Once all documents have been received and any balance due has been paid, your registration will be finalized.
Enter Your Income Level to Calculate Fees for After School Program
Please see the Income Guidelines and indicate your current income level to view fees with sliding scale.
- Above Median - $50/week
- Median-Above Median - $50/week
- 80% of Median - $45/week
- Moderate Low Income - $35/week
- Low Income - $30/week
- Very Low Income - $25/week
- Poverty - $20/week
- Below Poverty - $15/week
After School Weekly Enrollment Reservations*
Please select your payment below to secure your first week. More weeks may be added in person at any time.
- Pay Now
After School Weekly Enrollment Reservations*
Please select your payment below to secure your first week. More weeks may be added in person at any time.
- Pay Now
After School Weekly Enrollment Reservations*
Please select your payment below to secure your first week. More weeks may be added in person at any time.
- Pay Now
After School Weekly Enrollment Reservations*
Please select your payment below to secure your first week. More weeks may be added in person at any time.
- Pay Now
After School Weekly Enrollment Reservations*
Please select your payment below to secure your first week. More weeks may be added in person at any time.
- Pay Now
After School Weekly Enrollment Reservations*
Please select your payment below to secure your first week. More weeks may be added in person at any time.
- Pay Now
After School Weekly Enrollment Reservations*
Please select your payment below to secure your first week. More weeks may be added in person at any time.
- Pay Now
Select Weeks for Day Camps (Spring Break Camp, Summer Camp, Holiday Camp)
Your final weekly payment amount will be determined upon income verification when you complete your registration. Our weekly fees range from $40-$220 per week based on family income.
TO FINALIZE YOUR CHILD'S REGISTRATION AND ENSURE YOUR CHILD'S SPACE IS RESERVED, PLEASE UPLOAD COPIES OF THE FOLLOWING DOCUMENTS AND PAY THE APPLICABLE FEE:
1. Income Verification
2. Date of Birth (DOB) Verification
3. Address Verification
4. Recent Photo of Child
5. Copy of Parent ID
Upon submission of the above documents Club staff will verify annual income and confirm the weekly rate. Once all documents have been received and any balance due has been paid, your registration will be finalized.
Enter Your Income Level to Calculate Fees for Day Camps
Please see the Income Guidelines and indicate your current income level to view fees with sliding scale.
- Above Median - $220/week
- Above Median - $170/week
- Median-Above Median - $150/week
- 80% of Median - $125/week
- Moderate Low Income - $80/week
- Low Income - $60/week
- Very Low Income - $55/week
- Poverty - $45/week
- Below Poverty - $40/week
This field is hidden when viewing the form
School Year Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Spring Break Camp: March 30 - April 3
Summer Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Summer Day Camp: June 15 - June 19
- Summer Day Camp: June 22 - June 26
- Summer Day Camp: June 29 - July 3
- Summer Day Camp: July 6 - July 10
- Summer Day Camp: July 13 - July 17
- Summer Day Camp: July 20 - July 24
- Summer Day Camp: July 27 - July 31
This field is hidden when viewing the form
School Year Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Spring Break Camp: March 30 - April 3
Summer Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Summer Day Camp: June 15 - June 19
- Summer Day Camp: June 22 - June 26
- Summer Day Camp: June 29 - July 3
- Summer Day Camp: July 6 - July 10
- Summer Day Camp: July 13 - July 17
- Summer Day Camp: July 20 - July 24
- Summer Day Camp: July 27 - July 31
This field is hidden when viewing the form
School Year Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Spring Break Camp: March 30 - April 3
Summer Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Summer Day Camp: June 15 - June 19
- Summer Day Camp: June 22 - June 26
- Summer Day Camp: June 29 - July 3
- Summer Day Camp: July 6 - July 10
- Summer Day Camp: July 13 - July 17
- Summer Day Camp: July 20 - July 24
- Summer Day Camp: July 27 - July 31
This field is hidden when viewing the form
School Year Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Spring Break Camp: March 30 - April 3
Summer Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Summer Day Camp: June 15 - June 19
- Summer Day Camp: June 22 - June 26
- Summer Day Camp: June 29 - July 3
- Summer Day Camp: July 6 - July 10
- Summer Day Camp: July 13 - July 17
- Summer Day Camp: July 20 - July 24
- Summer Day Camp: July 27 - July 31
This field is hidden when viewing the form
School Year Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Spring Break Camp: March 30 - April 3
Summer Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Summer Day Camp: June 15 - June 19
- Summer Day Camp: June 22 - June 26
- Summer Day Camp: June 29 - July 3
- Summer Day Camp: July 6 - July 10
- Summer Day Camp: July 13 - July 17
- Summer Day Camp: July 20 - July 24
- Summer Day Camp: July 27 - July 31
This field is hidden when viewing the form
Spring Break Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Spring Break Camp: March 30 - April 3
Summer Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Summer Day Camp: June 15 - June 19
- Summer Day Camp: June 22 - June 26
- Summer Day Camp: June 29 - July 3
- Summer Day Camp: July 6 - July 10
- Summer Day Camp: July 13 - July 17
- Summer Day Camp: July 20 - July 24
- Summer Day Camp: July 27 - July 31
This field is hidden when viewing the form
School Year Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Spring Break Camp: March 30 - April 3
Summer Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Summer Day Camp: June 15 - June 19
- Summer Day Camp: June 22 - June 26
- Summer Day Camp: June 29 - July 3
- Summer Day Camp: July 6 - July 10
- Summer Day Camp: July 13 - July 17
- Summer Day Camp: July 20 - July 24
- Summer Day Camp: July 27 - July 31
This field is hidden when viewing the form
School Year Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Spring Break Camp: March 30 - April 3
Summer Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Summer Day Camp: June 15 - June 19
- Summer Day Camp: June 22 - June 26
- Summer Day Camp: June 29 - July 3
- Summer Day Camp: July 6 - July 10
- Summer Day Camp: July 13 - July 17
- Summer Day Camp: July 20 - July 24
- Summer Day Camp: July 27 - July 31
This field is hidden when viewing the form
School Year Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Spring Break Camp: March 30 - April 3
Summer Day Camp Weekly Enrollment Reservations*
Select the weeks you would like to pay for now. More weeks may be added in person at any time.
- Summer Day Camp: June 15 - June 19
- Summer Day Camp: June 22 - June 26
- Summer Day Camp: June 29 - July 3
- Summer Day Camp: July 6 - July 10
- Summer Day Camp: July 13 - July 17
- Summer Day Camp: July 20 - July 24
- Summer Day Camp: July 27 - July 31
Verify Income & Other Required Documents
Accepted files include png, jpg and pdf. A scanned document or photo of document(s) are acceptable.
Your final weekly payment amount will be determined upon income verification when you complete your registration and upload the required documents below. Our weekly fees range from $15-$50 per week based on family income.

REQUIRED DOCUMENTS
TO FINALIZE YOUR CHILD'S REGISTRATION AND ENSURE YOUR CHILD'S SPACE IS RESERVED, PLEASE UPLOAD COPIES OF THE FOLLOWING DOCUMENTS AND PAY THE APPLICABLE FEE:
1. Income Verification
2. Date of Birth (DOB) Verification
3. Address Verification
4. Recent Photo of Child
5. Copy of Parent ID
Upon submission of the above documents Club staff will verify annual income and confirm the weekly rate. Once all documents have been received and any balance due has been paid, your registration will be finalized.
Income Verification*
Please upload a file showing your most recent pay stub to verify your income and camp fee rate. (e.g. Scanned document or photo of pay stub)
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.
Date of Birth (DOB) Verification*
Please upload a document that contains your child's date of birth i.e. school report card, medical card, immunization record, birth certificate, or other official document. If you are signing up multiple children, please upload a document for each child
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.
Address Verification*
Please upload a document that contains your current address. i.e. recent gas bill, electricity bill, or any other bill with your name and address on it
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.
Recent Photo of Child*
Please upload a recent photo of the applicant.
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
Parent ID Verification*
Please upload a photo of a Government Issued ID for a parent.
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.
This field is hidden when viewing the form
ID Verification
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 20 MB.
Please upload a photo of a Government Issued ID.
Los Angeles Boys & Girls Club Membership
Club Membership is a one-time $15 fee. Weekly fees are based on a sliding scale where costs are discounted for low-income families. Please talk with our staff if you are experiencing financial hardship.
Membership Fees - School Year 2025-2026 Quantity
A membership of $15 per child is required to attend after school programs and day camps. How many children will attend during the school year 2025-2026?
Price: $15.00
Total
$0.00

What are you looking for?

Register for Summer Camp or our After School Program using form below or in-person.

After School Program

[Summer Camp] New Heights Adventure Camp: June 15 – July 31, 2026

Club Registration Form

Family Information

Child Information

Child #2 Information

Child #3 Information

Child #4 Information

Permissions & Releases

Additional Contacts

Select Weeks for After School Program

Select Weeks for Day Camps (Spring Break Camp, Summer Camp, Holiday Camp)

Verify Income & Other Required Documents

REQUIRED DOCUMENTS

Los Angeles Boys & Girls Club Membership