Summer at MLS Enrollment 2026

How did you hear about summer at MLS?

Parental Martial Status*

Parent A*

First Name Last Name

I am the Child's*

FatherMotherLegal Guardian

E-mail*

Phone Number*

Address*

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

If you are a new MLS parent, please upload a photo of yourself for a parent badge

Parent B*

First Name Last Name

I am the Child's*

FatherMotherLegal Guardian

Phone Number*

E-mail*

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

If you are a new MLS parent, please upload a photo of yourself for a parent badge

Number of children being registered*

Full Name*

First Name Last Name

Child T-shirt size* All campers are required to wear a camp T-shirt each day. Registration includes two shirts, with the option to purchase additional shirts in your confirmation email.

2T3T4T/5T6

Does your child currently attend My Little School?*

YesNo

Child 1 Current MLS Class Name*

Child 1 Current Caregiver Class*

My Big ClassMy Little Class

Caregiver Birth Date*

Month Day Year

Birth Date*

Month Day Year

Gender*

Photographs/Social Media*

I permit photographs of the above named child to be used on social media, posted on the school’s website and used in promotional materialsI do not agree.

Please note that children under a certain age are not eligible to participate in our Summer Caregiver Track. We are, however, excited to share that we will be offering a Friday Shabbat program for families, with more details coming soon.

If you have any questions or would like clarification, please don’t hesitate to reach out. We’re happy to help.

Caregiver Track 9:30am - 11:00am. This track includes a $300 non-refundable deposit as part of the total rate.

Full Summer June 3rd - July 1st $1,703Session A June 3rd - 12th $655Session B June 15th - 19th $393Session C June 22nd - 26th $393Bonus Days June 29th - July 1st $262

Caregiver Track 9:30am - 11:00am. This track includes a $300 non-refundable deposit as part of the total rate.

Full Summer June 3rd - July 1st $1,703Session A June 3rd - 12th $655Session B June 15th - 19th $393Session C June 22nd - 26th $393Bonus Days June 29th - July 1st $262

Track A 9:00am - 12:00pm. This track includes a $700 non-refundable deposit as part of the total rate.

Full Summer June 3rd - July 1st $3,780Session A June 3rd - 12th $1,440Session B June 15th - 19th $900Session C June 22nd - 26th $900Bonus Days June 29th - July 1st $540

Track A - Lavan 9:00am - 12:00pm. This track includes a $700 non-refundable deposit as part of the total rate.

Full Summer June 3rd - July 1st WaitlistedSession A June 3rd - 12th WaitlistedSession B June 15th - 19th WaitlistedSession C June 22nd - 26th $900Bonus Days June 29th - July 1st $540

Track A 9:00am - 12:00pm. This track includes a $700 non-refundable deposit as part of the total rate.

Session A June 3rd - 12th WaitlistedSession B June 15th - 19th WaitlistedSession C June 22nd - 26th $900Bonus Days June 29th - July 1st $540

Track B 8:55am - 2:00pm. Fridays until 1:00pm. This track includes a $700 non-refundable deposit as part of the total rate.

Full Summer June 3rd - July 1st $4,347Session A June 3rd - 12th $1,656Session B June 15th - 19th $1035Session C June 22nd - 26th $1035Bonus Days June 29th - July 1st $621

Track B 8:55am - 2:00pm. Fridays until 1:00pm. This track includes a $700 non-refundable deposit as part of the total rate.

Full Summer June 3rd - July 1st $4,347Session A June 3rd - 12th $1,656Session B June 15th - 19th $1035Session C June 22nd - 26th $1035Bonus Days June 29th - July 1st $621

Track C 8:45am - 3:00pm. Fridays until 1:00pm. This track includes a $700 non-refundable deposit as part of the total rate.

Full Summer June 3rd - July 1st $4,683Session A June 3rd - 12th $1,784Session B June 15th - 19th $1,115Session C June 22nd - 26th $1,115Bonus Days June 29th - July 1st $669

Track C 8:45am - 3:00pm. Fridays until 1:00pm. This track includes a $700 non-refundable deposit as part of the total rate.

Full Summer June 3rd - July 1st $4,683Session A June 3rd - 12th $1,784Session B June 15th - 19th $1,115Session C June 22nd - 26th $1,115Bonus Days June 29th - July 1st $669

Pediatrician*

First Name Last Name

Phone Number*

Insurance*

Policy Number*

Copy of Insurance Card*

Does your child have any allergies (e.g., medications, foods, etc.)? Please provide details.*

Does your child have an EpiPen?*

YesNo

Are there any medical, developmental or emotional conditions we should be aware of?*

Do you agree to inform us of any updates to your child's medical information?*

Yes, I take full responsibility to update the Summer at MLS admin team with the most accurate medical information regarding my child.

I give permission for my child to receive Children's Tylenol, Motrin, or a similar medication if needed?*

YesNo

I give permission for the staff to apply sunscreen to my child. *

YesNo

Medical Emergency Consent*

I give permission to the school to take my child for emergency medical attention in case I cannot be reached.

What language(s) are spoken at home?*

Full Name*

First Name Last Name

Child T-shirt size* All campers are required to wear a camp T-shirt each day. Registration includes two shirts, with the option to purchase additional shirts in your confirmation email.

2T3T4T/5T6

Does your child currently attend My Little School?*

YesNo

Child 2 Current MLS Class Name*

Child 2 Current Caregiver Class*

My Big ClassMy Little Class

Child 2 Caregiver Birth Date*

Month Day Year

Birth Date