Returning Member Registration

Member Information

Member's Name(Required)

First Last

Enter Member's Age(Required)

Is the Member the Primary Contact?(Required)

Yes

No

Primary Contact Name:(Required)

First Last

Relationship to Member(Required)

Parent

Other Family Member

Other

Describe Relationship(Required)

Primary Contact's Email:(Required)

Primary Contact's Phone:(Required)

Weekly Programs (18+)

Monday Night Bowling – $370

6/1-8/10 (11 weeks)

Tuesday Night Art – $360

6/2-8/11 (11 weeks)

Wednesday Night Sampler – $380

6/3-8/12 (11 weeks)

Thursday Bingo – $380

6/4-8/13 (11 weeks)

Friday Music on the Patio – $320

6/5-8/14 (10 weeks) | No program on 7/3

Afternoon Social Club (23+) 3pm-5:30pm

Monday Afternoon Social – $380

6/1 – 8/10 (11 weeks) | 3:00pm-5:30pm

Tuesday Afternoon Social – $380

6/2 – 8/11 (11 weeks) | 3:00pm-5:30pm

Wednesday Afternoon Social – $380

6/3 – 8/12 (11 weeks) | 3:00pm-5:30 pm

Thursday Afternoon Social – $380

6/4 – 8/13 (11 weeks) | 3:00pm-5:30pm

Friday Afternoon Social – $350

6/5 – 8/14 (10 weeks) | 3:00pm-5:30 pm |No program on 7/3

Grand Total

Adult Events & Excursions (18+)

Welcome Summer Cookout $60

Sunday, 6/7 | 11am-3pm

Retro Bash – $50

Sunday, 6/14 | 1pm-5pm

Ice Cream Social – $50

Sunday, 6/21 | 1pm – 5pm

Tropical Luau – $50

Sunday, 6/28 | 1pm – 5pm

CEL Outdoor Movie – $50

Sunday, 7/12 | 4pm-8pm

Talent Show (Ages 22+) $50

Sunday, 7/19 | 1pm – 5pm

Summer Olympics – $50

Sunday, 7/26 | 1pm – 5pm

Splash Party – $60

Sunday, 8/2 | 1pm – 5pm

CEL Summer Carnival – $60

Sunday, 8/9 | 1pm – 5pm

Excursions

Six Flags (Ages 22+) – $180

Saturday, 6/6 | 10am – 6pm | Price includes park admission, lunch, and a snack.

Wondra & Enterrium (Ages 18+) – $130

Saturday, 6/13 | 12pm – 6pm |

Milwaukee Zoo (Ages 22+) – $100

Saturday, 6/20 | 11am – 6pm | Price includes admission and lunch.

Dinner & A Movie (Ages 18+) – $130

Saturday, 6/27 | 4pm – 10pm Price includes movie ticket, popcorn, drink, & dinner.

Barefoot Bay (Ages 22+) – $90

Saturday, 7/11 | 1pm-6pm Price includes admission and a snack. Completed swim waiver required.

Chicago SkyDeck (Ages 22+) – $140

Saturday, 7/18 | 10am – 6pm The Program fee includes admission and lunch.

Simmons Beach – Kenosha (Ages 22+) – $110

Saturday, 7/25 | 10am-6pm The program fee includes lunch and a frozen treat!

Lake County Fair (Ages 18+) – $120

Saturday, 8/1 | 2pm-6pm Admission, games, rides, and a snack are included in the fee. Additional spending money encouraged, but not necessary!

Navy Pier Adventure (Ages 22+) – $120

Saturday, 8/8 | 10am – 6pm The program price includes lunch and admission to pier attractions. If you’d like to do extra shopping or make additional purchases, please bring extra spending money.

Grand Total

CEL Family Block Party (Free)

Saturday 8/15| 11am-3pm Please note: Members must be accompanied by a family member or support staff who can provide any needed support. CEL staff will be present but will not be available to assist with personal care needs.

Block Party Guest Count (Include yourself)

Saturday 8/15| 11am-3pm Please list how many total guests will be attending.

Block Party Guest Names

Please include first and last.

Grand Total

Payment Information

Financial Assistance (DO NOT check this box if you already receive Financial Assistance)

I am requesting Financial Assistance

*If you already receive Financial Assistance, DO NOT check this box.* | All requests for Financial Assistance will require proof of total household income for a determination to be made. New requests for financial assistance will likely delay the registration process and final placement in program cannot be guaranteed. We will reach out to you with more information. Financial Assistance is only available for two programs per session per member.

Payment Options(Required)

Payment in Full

Payment Plan*

*Payment Plans require a credit card saved on file. If you do not have one saved, we will reach out to for more information.

Payment Type(Required)

Use Card On File

Use New Card – Contact me for card information

Check

Send Invoice (Invoices are sent to primary contact email listed)

How do you want to split your payment?(Required)

2 month – May, June

3 month – May, June, July

Day of Month Charge (i.e. 1st, 15th, etc.)(Required)

Last 4 numbers for card on file(Required)

Returning Member Registration

FY26-27 Summer Registration Request

Member Information

Weekly Programs (18+)

Afternoon Social Club (23+) 3pm-5:30pm

Adult Events & Excursions (18+)

Excursions

Payment Information

You belong at CEL!

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