ELC Mini Camp 2025

* Child's First Name

* Child's Last Name

* Child's Birthday

Address

Town/City

State

Zip Code

Home Phone #

* Cell Phone #

* Email Address

* Who will be attending with the child?

Parent/Guardian name

Both Parents' Names

Siblings/Ages:

If other, please elaborate

Please sign me and my Toddler up for Mini Camp $480

Amount due

Thu, December 4 2025 14 Kislev 5786