FY24 Cape Elementary Fee-Based Before and After School Program Registration-              REGISTRATION IS NOW CLOSED-See below for waitlist instructions.
This form is an application for the Cape Elementary before and after school program. Please note that our enrollment is limited based on staffing and may be closed to new enrollment at any time during the year.

Please read through the guidelines of the program by clicking on the link here,  FY24 Cape Elementary Before & After School Guidelines

Please fill out a form for each of your children that you wish to enroll in our  program and fill out a separate form for each child.

REGISTRATION IS NOW CLOSED 8/9/23. WE NOW HAVE A WAITLIST. COMPLETE THE FORM AND IT WILL TIMESTAMP YOUR ENTRY. THE CKC OFFICE WILL CONTACT YOU WHEN WE HAVE OPENINGS.

THIS IS NOT YOUR PAYMENT OF REGISTRATION, THIS IS JUST TO HOLD YOUR SPOT.  
THE $25 REGISTRATION WILL BE COLLECTED AT THE SCHOOL TO FINALIZE YOUR COMMITMENT. 
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Email *
Student's First Name *
Student's Last Name *
Student's grade level for the upcoming school year: *
Student's home address (street address, city, and zip code) *
Parent/Guardian #1 First & Last Name: *
Parent/Guardian #1 Relationship to Student *
Parent/Guardian #1 Phone Number: *
Parent/Guardian #1 Email *
Parent/Guardian #2 First & Last Name: *
Parent/Guardian #2 Relationship to Student *
Parent/Guardian #2 Phone Number: *
Parent/Guardian #2 Email: *
Please indicate the program your child is signing up for.  Please note, your child can only attend the specific program you choose. *
I understand that I will be required to pay a $25 registration fee ($40 per family) to hold spots in the program. *
I understand that payments for services must always be made in advance of the week in which the services begin. This means that all tuition fees are due by the Friday prior to the participating week. *
I have read and agree to the linked *
Does your child have any allergies or other medical conditions that you would like to make us aware of? (If yes is selected, please also answer the next question) *
Please elaborate on any allergies or medical conditions that you would like to make us aware of. Please skip this question if you answered no to the previous question.
Does your child have any Custodial Restrictions?
If yes, you must provide CKC program with a copy of the legal document.
 *
Additional approved person that may pick up your child:
First and Last Name and contact #
 *
Additional approved person that may pick up your child:
First and Last Name and contact #
Additional approved person that may pick up your child:
First and Last Name and contact #
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