ELC 2023 Summer Camp Interest Form
The ELC is thrilled to be offering its first ever Summer Camp! We are offering camp M-F from 9am-3pm, July 10th-28th for Preschool - Rising 5th Grade students. Families are welcome to sign up for 1, 2, or all 3 weeks of camp and our first priority will be to accommodate ELC Families, including siblings not currently enrolled at the ELC.

Each week of the Summer Camp will have its own theme. Click here to learn more details about what kind of activities, projects, studies will be happening. Here are the basics:
Week 1 - STEAM Week, July 10-14
Week 2 - Summer Gardens, July 17-21
Week 3 - Water & Wind Week, July 24-28

The cost of attendance per week is $325. There is a non-refundable $100 per week deposit to hold your child's spot, with a balance of $225 per week due by June 6th. 

The timeline for enrollment is as follows: 
  • Open to ELC Families - February 21st
  • Open to ELC Alumni Families - March 1st
  • Open to General Public - March 6th
Google にログインすると作業内容を保存できます。詳細
メールアドレス *
Child Name - First  *
Child Name - Last *
Child's Birthdate - Month/Day/year *
YYYY
/
MM
/
DD
Current Grade for 2022-23 School Year *
I have another child I would like to enroll in Summer Camp *
*Please list the following, only if applicable*
Child Name (First, Last)
Birthdate (MM,DD,YY)
Current Grade for 2022-23 School Year
*Please list the following, only if applicable*
Child Name (First, Last)
Birthdate (MM,DD,YY)
Current Grade for 2022-23 School Year
Parent / Guardian #1 - First Name *
Parent / Guardian #1 - Last Name *
Parent / Guardian #1 Phone Number(s) - Please include cell, home, and/or work line in that order. *
Parent / Guardian #1 Email *
Parent / Guardian #2 - First Name
Parent / Guardian #2 - Last Name
Parent / Guardian #2 Phone Number(s) - Please include cell, home, and/or work line in that order.
Parent / Guardian #2 Email
Additional Emergency Contacts / Authorized Pick-Up #1 - Please include name and phone number.   *
Additional Emergency Contacts / Authorized Pick-Up #2 - Please include name and phone number.  
Additional Emergency Contacts / Authorized Pick-Up #3 - Please include name and phone number.  
Desired Summer Camp Attendance - Please check all that apply. *
必須
I understand that the completion of this form alone does not hold a spot for my child and that is dependent on the submission of a non-refundable $100 per week deposit. *
必須
送信
フォームをクリア
Google フォームでパスワードを送信しないでください。
reCAPTCHA
プライバシー利用規約
このフォームは Pacific University Oregon 内部で作成されました。 不正行為の報告
Google フォーム