Request for Enrollment Kids' Club

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This request DOES NOT guarantee acceptance into any 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 end-April / May 2023.

*** FOR EACH CHILD: PLEASE complete ONE online submission and program choice for EACH child ***

Preschool: Ages 3 years (must be potty trained) through school age (5 years old)

Kids' Club: Before and/or After school care (AM: 7am - 8:30am ~ PM: 3:50pm - 6pm)

****Mill Creek: we are still actively looking for PM kids club staff.****

Email *

Enrollment Location: *

Lakeland

Mill Creek

Which Program are you interested in? *

Before School (AM)

After School (PM)

Both AM and PM

Required

Child's Name AND Date of Birth (Age), and grade: *

Parent/Legal Guardian Name *

Contact phone # *

Send me a copy of my responses.

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