KJ Afterschool Waitlist - Queen's Grant Community School - 2023-24
K-8th grade spots are currently full for the '23-24 year. You may fill out this form to take a position on the waiting list. When/if a spot opens up, we will contact families on the waiting list in the order that they come onto the list. You do not need to pay anything after filling out this form. We will contact you when/if a spot becomes available in the order of our waitlist.
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Email *
Is your child's school Queen's Grant?  If yes, please continue.  If not, please go back to our homepage and click on the form associated with your child's school. *
Required
What is your child's First Name (or name he/she goes by)? *
What is your child's Last Name? *
What is Parent 1's name? *
What is Parent 1's email address? *
What is Parent 1's cell phone number? *
What is Parent 2's name (if applicable)?
What is Parent 2's email address?
What is Parent 2's cell phone number?
What email address is associated with your paypal account?  List all that may apply. *
What is the child's address?  (Please list all that apply.) *
Please write the name of an emergency contact we may reach if you are not able to be contacted. *
Please give the emergency contact's cell phone number. *
Please write the name of an additional emergency contact. *
Please give this person's cell phone number. *
What grade is your child in? *
Does your child have any allergies? *
If your child does have allergies, please list them here:
Does your child take any medications? *
If your child does take medications regularly, please list them here:
I agree to adhere to the payment schedule as prescribed in the payment worksheet.  Failure to make payment will result in a $20 fee.  Late pick-up (after 6:00 pm) will be assessed a $5 fee for the first occurrence, $10 with the 2nd occurrence, and $10 with a conference with the Director for the 3rd occurrence. Each child will be held to the school standards of behavior within our program.  Discipline issues will be handled on a case-by-case basis at the Director's discretion.  I acknowledge and represent that I have read, understand, and accept all terms stated in this document as they relate to KJ Afterschool, LLC.  By checking the box below, I agree to adhere to all policies, agreements, waivers and procedures of KJ Afterschool, LLC. *
If you are registering a new Kindergarten student, please go back to our website, click on the 'pay now' button and pay the $75 registration/first week payment to secure your spot.  If you are placing your 1st-8th grade student on the waitlist at this time, no payment is due right now.  Thank you -  *
A copy of your responses will be emailed to the address you provided.
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