2024/25Request for Enrollment Kids' Club

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This request DOES NOT guarantee acceptance into any program. It is a means for the Enrollment Coordinator to collect information to send out ONLINE program specific enrollment instructions which will be emailed separately May 1, 2024.

*** FOR EACH CHILD: PLEASE complete ONE online submission and program choice for EACH child ***

Preschool: Ages 3 years by September , 2024 (must be FULLY toilet trained) through school age (5th grade or 12 years old)

Kids' Club: Before and/or After school care (AM: 7am - 8:30am ~ PM: 3:50pm - 6pm)

Email *

Enrollment Location: *

Lakeland

Mill Creek

Which Program are you interested in? *

Before School (AM)

After School (PM)

Both AM and PM

Required

Child's Name AND Date of Birth (Age), and grade: *

Parent/Legal Guardian Name *

Contact phone # *

Send me a copy of my responses.

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