Request for Program Use of ELC Form
Questions marked with a * are required
5%
We appreciate your interest in the Early Learning Center. By taking the time to complete this form, you are helping us effectively coordinate the services the ELC has to offer, and improve the communication between the staff and faculty, students, and the community. Please include as much information as possible (along with a class roster) and assist us by completing the form at least two weeks prior to your need for use of the childcare facilities.

The Early Learning Center does not allow photographs or videos of any kind to be taken of the children. By signing below, I acknowledge this and will verbally discuss this policy with my students.
I acknowledge that I have read and agree to the previous statements.