TExpl Registration Free-Reduced Lunch Form

Ready to start your adventure?

Sponsorships for summer 2023 are full. Thank you for your interest in the Total Experience Learning summer program. If you would still like to join, please follow this link for the paid registration form.

If you are looking to register right away, click here to go to the complete registration form. This form is for the free-reduced lunch qualifying students looking for registration sponsorships. Sponsored spots for the program are limited. Filling out this form does not guarantee admission into the summer program.

Parent Information

* First Name

* Last Name:

* E-mail Address

* Phone Number

* Street Address

City

State

* Zip Code

* Are you an Albright College Employee?

* TOTAL Number of Children Attending?

Child Registrants:

Click or tap on the gray bars to enter child registrant information. Please use the student’s email address when filling out the below section.

Child Registrant 1

1. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

T-Shirt Size?

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 2

2. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

T-Shirt Size?

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 3

3. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

T-Shirt Size?

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 4

4. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

T-Shirt Size?

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 5

5. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

T-Shirt Size?

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Child Registrant 6

6. First Name

Last Name

Birthdate

Current Grade in School

School District

School Name

T-Shirt Size?

Please enter student’s first initial and last name as you would like it to appear on their lab coat.

Emergency Contact Information

Contact 1

* Name

* E-mail Address

* Phone Number

* Address

Contact 2

* Name

* E-mail Address

* Phone Number

* Address

Other Information

* List of allergies or food restrictions:

Waivers will be distributed to be completed prior to the start of the summer program.

* Please enter the red letter from the image below: