LifeKids Spencer Registration 2023-2024
A packet of additional forms to fill out will be sent home the first day of attendance to comply with DHHS (Department of Health and Human Services) licensure requirements.

Monday -Friday including Monday full day in-service day $30 per week.

Multi child family discount (-$5 per child). Example: 2nd child $25 per week, 3rd child $20 per week, 4th child $15 per week (for a family of 4 children the cost per week including the in-service day $90 per week).

Wednesday - only $5 per Wednesday.

In-service day only $15 per in-service day.
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Days Attending
 *
Required
Child's First and Last Name
 *
Child's Address
 *
Child's Birthdate
 *
MM
/
DD
/
YYYY
Child's Age
 *
Child's Grade in School
 *
Child's Gender
 *
Primary Contact First and Last Name
 *
Primary Contact Phone Number
 *
Primary Contact Work Phone Number (Optional)
Primary Contact Email
 *
Secondary Contact First and Last Name (Optional)
Secondary Contact Phone Number
Secondary Contact Work Phone Number
Secondary Contact Email
Emergency Contact First and Last Name
 *
Emergency Contact Phone Number
 *
Emergency Contact Work Phone Number (Optional)
Emergency Contact Email
 *
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