Name / DOB: 02-22-2023 / Age / Relationship to you. Ex: Child

Complete this section for age eligible summer camper(s) ages 5-14 (Children of specialized population are between the ages of 5 and 17) by June 1st. 5 year old(s) must provide proof that they are currently attending or have completed VPK.

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Attachments for Application Section Please email the required documents below in separate files. to [email protected].

* Copy of Proof of Palm Beach County Residency (Ex. recent utility bill, school demographics with camper’s name and address, driver’s license, etc.)

* Copy of Photo ID (Upload one of the following Driver's License, US Passport, Resident Card, Work Permit)

Note: The file format must be a .pdf, .docx, .doc, .dotx, .xls, .xlsx, .xltx, .jpg, .jpeg, .png, .bmp, .tif.
Note: ELC Camper(s) are not eligible for scholarship and system will not allow you to enter the camper(s).