Academic Summer Camp

Summer Camp at H4HLA
Starts June 15th!
Registration now Open

Summer Camp is 7 weeks Starting June 15th — Camp is Monday-Thursday 10am-4pm.

Each week students explore a different subject through hands-on, project-based activities. Students receive personalized instruction in a fun, creative environment designed to maintain and strengthen grade-level proficiency.

Ages 8–13 engage in subject-focused, interactive learning.
Ages 14–18 participate as Counselors-In-Training (CITs), earning community service hours while building leadership skills.

Week 1: Reading
June 15 – June 18

Week 2: Writing
June 22 – June 25

Week 3: History
June 29 – July 2

Week 4: Math
July 6 – July 9

Week 5: Science
July 13 – 16

Week 6: Geography
July 20 – July 23

Week 7: Technology & Career
July 27 – July 30

Register

"*" indicates required fields

Instagram

This field is for validation purposes and should be left unchanged.

Hi! How did you hear about us?

What is your preferred language?

Student Name*

First Name / Nombre Last Name / Apellido

Which Weeks? Select Individual Weeks or ALL

Week 1: Reading (June 15th-June 18th)

Week 2: Writing (June 22nd- June 25th)

Week 3: History (June 29th-July 2nd)

Week 4: Math (July 6th- July 9th)

Week 5: Science (July 13th- 16th)

Week 6: Geography (July 20th- July 23rd)

Week 7: Technology & Career (July 27th- July 30th)

School will be attending in the Fall 26*

Grade*

Date of Birth*

Month

Day

Year

Allergies, Medications, Physical or Mental Limitations*

Please describe any allergies (nut, foods, dust etc); and any medications the child takes.
Please also describe any activities your child may not participate in, and anything else we need to know to serve your child.

Gender*

Male

Female

Other

Contact and Emergency Information

Parent or Guardian Name*

First Name Last Name

Phone*

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is there a second parent/guardian?

First Name Last Name

Phone

In Case of Emergency WHO SHOULD WE CONTACT?*

Emergency Contact's Relationship*

Emergency Contact Phone*

Additional Adult who is authorized to pick up your child / children?

(if applicable)

Full Name, relationship

Second Additional authorized adult?

(if applicable)

Full Name, relationship

Would you like to be part of our monthly parent support workshops ?*

Yes

Anonymized Survey

Thank you SO much, in advance, for completing these next questions.
Hands4HopeLA receives grants that require we provide statistics, using only combined and anonymous results of these survey questions.

Your responses help decide what kinds of programs and assistance are offered and funded. We thank you for your help!

Annual Income in your household*

Less than 40k

41k - 50k

51k - 60k

More than 60k

Do you need any assistance with the following:*

No assistance requested

Groceries

Utility payments

Clothing

Housing

Other Financial Assistance

Does your family participate in any of the following programs? CalWORKs, Calfresh, Kin-GAP, FDPIR, WIA.*

Yes

Does student qualify for free or reduced lunch?*

Yes

Are you a Veteran?*

Yes

How do you describe your Ethnicity?*

American Indian, Asian, Black or African American, Hispanic or Latino, Middle Eastern or North African, Native Hawaiian or Pacific Islander, White, or self describe.

Do you have any disabilities?*

No disabilities

Chronic health condition

Hearing difficulties

Mental disability

Physical disability

Visual difficulties

Other

Decline to Answer

I feel hopeful about my children's future

Yes

Unsure

I know how to help my children calm down when they are upset

Yes

Unsure

I am happy when I am with my children*

Most of the time

Sometimes

Not Really

I know how to get resources that would be helpful for my children*

Yes

Unsure

I know how to help my children with challenging behaviors*

Yes

Unsure

In our family we take time to listen to each other*

Yes

Unsure

I know how to help my children with difficult thoughts*

Yes

Unsure

I take good care of my children despite my personal problems*

Yes

Unsure

My family is connected to the community*

Yes

Unsure

Is there anything else we should know?

Hands4Hope LA Afterschool Program Release Agreement & Waiver of Liability

In consideration of the services of Hands for Hope (Hands4Hope LA) and all other related entities, partners, agents, directors, advisors, officers, employees, representatives, volunteers, and all other persons acting on behalf of these entities(hereinafter collectively "Hands4Hope LA"), I hereby AGREE AND CONSENT TO WAIVE AND RELEASE, to relinquish, and to forever discharge Hands4Hope LA and its representatives on behalf of myself, my children, my parents, my heirs, assigns, personal representatives and estate from any and all claims, any and all auses of action that I (we) have or may have, whether past, present or future, Whether known or unknown, whether anticipated or unanticipated, as detailed in the consent boxes below.

Academic Evaluation - applies to children under 18 yrs of age*

I hereby give permission for the school to release any and all confidential school records to (Hands4Hope LA) for purposes of assessment and evaluation for the betterment of my child’s academic and social success and the effectiveness of
Hands4Hope LA after school program.

I also hereby give permission for my child to participate in activities or surveys designed to evaluate the effectiveness of Hands4Hope LA.

I have read and agree.

Physical Activities*

I am voluntarily participating / allowing my child to participate in instruction covering a number of topics. I recognize this may include fitness or dance classes may require physical exertion hat may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician for my child (or myself if a TAY student over 18) prior to and regarding participation in dance or fitness related instruction. I warrant that if I am aware of any medical condition that my child has that would affect participation, I will fully disclose this information to Hands4Hope LA staff in writing.

I have read and agree.

Assumption of Risk*

I understand that there is an assumed risk of injury in all (Hands4Hope LA) activities. I have read and understood this agreement, and I hereby waive all claims against Hands4Hope LA and their contractual partners for injury or damage to any person or property on and off campus premises by or from any cause whatsoever including the after school program’s negligence.

I agree to hold Hands4Hope LA and their contractual partners free from any liability or responsibility for damages arising from any injuries to myself, my child, my children, or property owned by any of us.

I have read and agree.

Release of Information*

I grant permission to Hands4Hope LA, its agents and assigns, to use my child’s name, demographic information, program outcomes, service assessments, services information for the purposes of grant reporting to Los Angeles County and other funding agencies. Hands4Hope LA is funded by several grants from various organizations and it is necessary to share basic information about program participants in order to receive funding.

I have read and agree.

Media Release*

I hereby grant permission to Hands4Hope LA, its agents and assigns, to use child’s photo or video, and likeness for the purpose of romotion by Hands4Hope LA for all forms, media and manners, for the following, but not limited to, news releases, photographs, video, audio, website, marketing, advertising, trade, promotion, exhibition for an indefinite period of time. I further acknowledge that I will not be compensated for these uses and Hands4Hope LA owns all rights to the images, videos, and recordings, and to any derivative works created from them. I waive any right to inspect the uses of any printed or electronic copy. I hereby release Hands4Hope LA and its agents and assigns from any claims that may arise from these uses, including without limitation claims of defamation or invasion of privacy, or of infringement of moral rights or rights ofpublicity or copyright.

I have read and agree.

Walking Trips*

I hereby give permission for my child to go with Hands4Hope LA on any walking trips planned and conducted by staff. I understand that these are walking trips near the program site, and adequate health and safety precautions will be taken.

I have read and agree.

Signature of Parent/Guardian*

I have read the above agreement and understand fully the terms and conditions that have been explained. By signing this release agreement & waiver of liability form I am giving my child permission to attend Hands4Hope LA academic after school program.

ReCAPTCHA

Summer Camp at H4HLA
Starts June 15th!
Registration now Open

Summer Camp is 7 weeks Starting June 15th — Camp is Monday-Thursday 10am-4pm.

Each week students explore a different subject through hands-on, project-based activities. Students receive personalized instruction in a fun, creative environment designed to maintain and strengthen grade-level proficiency.