ELC Summer Weeks Attendance 2021
Please use the form below to note which weeks your child(ren) will be in attendance over the 2021 summer. This form is for all children, 6 weeks through 13 years.
Email address *
Parent 1 Name *
Parent 1 Email *
Parent 1 Phone Number *
Parent 2 Name *
Parent 2 Email *
Parent 2 Phone Number *
Child 1 First Name *
Child 1 Last Name *
Child 1 Date of Birth *
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Child 2 First Name
Child 2 Last Name
Child 2 Date of Birth
MM
/
DD
/
YYYY
Child 3 First Name
Child 3 Last Name
Child 3 Date of Birth
MM
/
DD
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YYYY
My child(ren) will be in attendance the following weeks, mark all that apply:
I understand that for the weeks marked above, indicating that my child(ren) will be in attendance, that I am responsible for each weeks payment. Type your initials below to confirm. *
I understand that if my child(ren) will be in attendance less than 6 weeks, I will be billed the drop in rate and will not be responsible for an activity fee. Type your initials below to confirm. *
I understand that an activity fee is due for all children that are enrolled for more than 6 weeks over the summer, and that the fee is due prior to my start date. This fee is due no later than April 15, 2021. Type your initials below to confirm. *
I understand that my child’s enrollment in summer camp continues from the 2020-2021 school year, and I will be billed a summer activity fee unless I indicate no attendance, or drop in attendance. Type your initials below to confirm. *
My child(ren) WILL NOT BE in attendance for any portion of the summer program at the ELC and the last day of attendance will be: *
I understand that I am required to provide 4 weeks notice before my child(ren)'s last day of attendance. Type your initials below to confirm. *
A copy of your responses will be emailed to the address you provided.
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