ELC Summer Camp Registration 2026
Single day request form
Child's Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Entering in the Fall
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
6th
Parent/Guardian Information
Your Name
*
First Name
Last Name
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Camp Day Selection
Check all the boxes of the individual days you would like your child to attend camp this summer:
June 1
June 2
June 3
June 4
June 5
June 8
June 9
June 10
June 11
June 12
June 15
June 16
June 17
June 18
June 19
June 22
June 23
June 24
June 25
June 26
June 29
June 30
July 1
July 2
July 6
July 7
July 8
July 9
July 10
July 13
July 14
July 15
July 16
July 17
July 20
July 21
July 22
July 23
July 24
July 27
July 28
July 29
July 30
July 31
August 3
August 4
August 5
August 6
August 11
August 12
August 13
August 14
August 17
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Submit
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