TE ECDC Summer Session 2021 Registration

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We are excited to offer a Summer Session for our ECDC students. Our Summer Session will be offered for six weeks, Monday-Thursday from 9am-11:30am for children aged 3-6 years. Please fill out one form per child. Pricing is $180/2 weeks or $525/6 weeks.

Child's Name (First and Last) *

Name child responds to *

Date of Birth *

YYYY

Parent 1 Name (First and Last) *

Cell Phone (1) *

Email (1) *

Parent 2 Name (First and Last)

Cell Phone (2)

Email (2)

Home Address *

Home Phone *

How did you learn about ECDC?

Temple Emanuel Member? *

Yes

Would you like to learn about joining?

Yes

Clear selection

Please read ECDC's Protocols and Procedures: http://www.templeemanuelpgh.org/wp-content/uploads/2021/01/school-year-2020_21-protocols-rev-1_5_21.pdf *

I understand and agree to adhere to ECDC's Protocols and Procedures

Required

What weeks would you like to attend ECDC Summer Session?

June 21-July 1

July 5-July 15

July 19-July 29

Signature *

Date *

YYYY

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