Kids Klub-South Jordan                                            2023-24 Inquiry Form 
We are excited that you are interested in our after school program! Black Diamond Kids Klub is a state licensed out of school time program for ages 5-12. (We will enroll kindergartners if they attend afternoon kindergarten and get out at the same time as the elementary students). All of our staff members must pass a background check, fingerprints, complete training before they are in the classroom and attend monthly program trainings. We pick up your child from school and bring them back to our facility for an afternoon of fun! Your child will receive a nutritious snack when they get into the classroom. Then they can choose to play games, read or participate in the fun art/craft projects we have planned in our daily lesson plans. You can pick up your child any time between 4:00-6:00pm. If you would like your child to take a gymnastics, tumbling or ninja class while in our care you can sign them up for 50% off recreational classes. Please fill out this form so that we can gather interest in this program for next school year. We are hoping to reinstate this program if we gain enough interest and have the right staff in place!
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Email *
Email Address *
Parent(s) First Name *
Parent(s) Last Name *
Mailing Address (Street/City/State/Zip) *
Physical Address (if different than above)
Phone Numbers (Home/Cell/Work please) *
Student Name (First and Last) *
Sex *
Child's Date of Birth *
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What grade will your child be in the fall of 2023? *
Please describe any special needs that your child may have: *
Allergies: *
What school will your child be attending in the fall? *
Which days are you interested in your child attending? *
Required
Please write any questions or comments that you may have.
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