ELC Summer Camp Registration
This registration is for Summer camp at The Elevation Learning Center.
It will be in operation Monday to Thursday from 9am to 12pm for summer school & 9am - 2pm for Summer Camp.
Location: 211 Jericho Tpk. Old Westbury NY 11568
Email *
Name of Child (1): *
Date of Birth *
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Age of Child (1): *
Grade level child will be entering in the 2021-2022 school year. *
Please describe educational concerns for your child if any. (Ex: Please focus on reading, needs enrichment in all subjects. . . etc)
Allergies *
Name of Child (2):
Grade level your child will be entering in the 2021-2022 school year.
Please describe educational concerns for your child if any. (Ex: Please focus on reading, needs enrichment in all subjects. . . etc)
Allergies Child 2
How many weeks will your child be registering for? *
Required
Please select the weeks they will be in attendance. Summer School will be from 9am- 12pm. Summer Camp sessions will be from 8:30am to 2pm. Monday to Thursday.
Parent/Guardian's Name:
Parent Email: *
Phone Number: *
Home Address *
Emergency Contact: (Name/Relationship to Child/Contact)
Payment *
Best time to call to finalize registration & payment. *
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