Academy of Scholars Interest Form
Please complete one form per child.  This is just an interest form and does not guarantee registration.
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Dear 4th “R” Families,

We are excited to announce we are offering our fee-based childcare program, Academy of Scholars, to serve Sacramento City Unified families. This childcare program provides licensed, high-quality, engaging, year-round before and afterschool care for school-aged children.
 
The Academy of Scholars childcare program replaces the City of Sacramento’s 4th “R” program. We are proud to provide this service for the benefit of SCUSD students and families.

Parent/Guardian First and Last Name *
Parent/Guardian Email *
Parent/Guardian Contact Phone Number *
Child First and Last Name (one form per child) *
Child Date of Birth *
MM
/
DD
/
YYYY
Fall 2021 Grade Level *
School Site *
I am interested in (check all that apply) *
Required
I qualify as a Critical Essential worker. *
My child was registered/confirmed for the 2019-2020 4th "R" program. *
I understand, that submitting this interest form does not enroll my child into the Academy of Scholars program. *
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