2021-2022 SCC 4K Pre-Registration Sign-up
If you have a 4K eligible child and are planning to enroll them in SCC 4K for the 2021-2022 school year please complete and submit this form. This will help us plan for registration as well as for the school year! Thank you!


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Email *
Child's First Name *
Please enter your child's first name
Child's Last Name *
Please enter your child's last name
Child's Birth Date *
Please enter your child's date of birth
MM
/
DD
/
YYYY
Parent's Name(s) *
Please provide parent or guardian name(s)
Address *
Please provide street address, city, state and zip code. Add second family address information if applicable.
Phone Number *
Please provide your primary contact phone number.
A copy of your responses will be emailed to the address you provided.
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