2023 Request for Enrollment Packet ~ Summer Kids' Club

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This request DOES NOT guarantee acceptance into the SKC 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 in mid-April / May 2023.

**2023 will ONLY be located at Lakeland Elementary this year. Any questions please contact Joann Miracle.**

*** FOR EACH CHILD: PLEASE complete ONE online submission ***

Summer Kids' Club for school-age students entering TK/K through Fifth Grade (age 12)

Email *

Enrollment Location: *

Lakeland

Child's Name *

Child Age & 2023/24 School Year Grade level *

Parent/Legal Guardian Name *

Contact phone # *

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