2024 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 by mid-April 2024.

**2024 will ONLY be located at Lakeland Elementary this year. If staffing changes we will give the option for a Mill Creek location. 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). Students must be 5 by June 21st 2024.

Email *

Enrollment Location: *

Lakeland

Mill Creek (If staffing is available)

Mill Creek ONLY (Lakeland is not an option for us)

Child's Name *

Child Age/Birthdate & 2023/24 School Year Grade level

(Children must be 5 by June 21st 2024 and entering kindergarten in school year 2024/25)

Parent/Legal Guardian Name *

Contact phone # *

Submit

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