Vikings Kid's Club 23/24

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

This form is used to gather basic information for each child wishing to attend the Kid's Club before and after school program, starting Fall 2023. Please submit one form per child.

Kid's Club currently has a wait list for After School care

Once submitted, you will will be contacted when a space becomes available. Space is only guaranteed after the enrollment process is complete.

Kids Club is available to all school age children (TK-6th Grade (through 12 years old.)

Enrollment priority is as follows:

- Currently enrolled families

- Full-time enrollment

- PPS employees

Email *

Child's Name *

Date of Birth *

YYYY

Grade (23/24 school year) *

TK/K

First

Second

Third

Fourth

Fifth

Sixth

Primary Parent/Guardian Name *

Relationship to Child *

Address *

Phone Number 1 *

Phone Number 2 *

I would like my child to attend Kid's Club: (Drop in care is not available) *

Option 1: Full time Before and After School (M-F 7am-8am, 2:43-5:30pm)

Option 2: Full Time Before School

Option 3: Full Time After School

Option 4: Part Time Before and After (specify days) Limited Availability

Please tell us anything that would be helpful to know about your child:

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Potterville Public Schools. Report Abuse

Forms