Erie, PA Summer Camp for School-Age Kids | ELRC Accepted

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Child's Name

First Name *

Last Name *

Child’s Date of Birth (Required)

Grade child will be entering in the 2026-2027 school year: (Required)

Home Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Primary Contact's Name

First Name *

Last Name *

Relationship to Child (Required)

Your Email Address (Required)

Primary Phone Number (Required)

Please select all that apply:

Child's Shirt Size (Required)

Are you a CDC employee?

Is your child currently enrolled in our infant, toddler, preschool and/or extended care programs?

Are you enrolling more than one child in our Summer Camp?

How did you hear about our Summer Camp?

Thank you in advance for taking the time to fill this out! We appreciate your help.

Erie Summer Camp Interest Form