Lipman Early Learning, ELRC Ages 3 to 5 Wednesdays 4:00p.m. to 4:30p.m.Beginning January 18th 12 weeks for $180 Parent/Guardian Contact Parent/Guardian Cell Phone Parent/Guardian email Parent/Guardian Address Emergency Contact Name Cell Phone Student Information Student's Name 1 Student's Age Student's Grade Allergies Student's Name 2 Student's Age Student's Grade Allergies Address Photo Release I give permission of photos of my child to be used for website and gallery purposes Once you click on submit you will be forwarded to Square of payment Submit