Kindergarten Countdown Application Form - 2021
Kindergarten Countdown is a summer program that helps children who will be attending kindergarten for the first time next fall feel more comfortable in the school environment. Students will be introduced to reading and math concepts, classroom routines, and will meet new friends! Enrichment activities include finger play, guest readers, music, art, field trips, and much more.

Please enroll your child in MCAS Kindergarten prior to applying for Kindergarten Countdown.

Visit http://educateMC.net/kindergarten to enroll.
(Call the elementary school your child will attend if you need assistance.) If you do not know your neighborhood elementary school, call the MCAS Transportation Department @ 219-873-2127.

Classes will be held at Lake Hills Elementary School Monday - Friday, June 14 – July 9 from 8:30am - 12:30pm

Transportation, free breakfast, and free lunch are provided.
Please complete this for by May 13, 2021.
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Email *
Student First Name *
Student Last Name *
Student Gender *
Student Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian First Name *
Parent/Guardian Last Name *
Street Address *
Please provide your street address here (Ex: 123 Sesame Street)
City, State, Zip Code *
Required
Home Phone Number *
Emergency Contact Name *
Emergency Contact Phone Number *
Please list any Medical Concerns or Allergies
Current Pre-School: *
Required
What school will the student attend in the 2021-2022 school year? *
Is the student enrolled in school in the Fall? *
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