12/16/2017
(240)-453-9790
(301)-801-2100

ELF Studio
Registration for 2013 - 2014 School Year

Parent's First Name*:
Parent's Last Name*:
Street Address*:
City*:
State*:
Zip*:
Home Phone*:
Cell Phone:
e-Mail Address*:
Work Phone:
Child's First Name*:
Child's Last Name*:
Child's Age*: Date Of Birth: (mm/dd/yyyy)

ELF Program(s) You Are Registering For*:



School Currently Attending*:
School Grade*:
After-School Attendance Start Date: As Soon As Possible
Approx.Date (mm/dd/yyyy):
After-School Attendance Schedule: Full Time ( 5 days/week )
Part Time (describe):
*Part time schedule is subject to availability

Comments:
How did you hear about us?