Character Kids Waiting List Form

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Please fill out a form for each child you wish to place on the waiting list. Character Kids is available to children in Kindergarten through 4th grade. We do not accept vouchers. For After school care, We only provide transportation from Thomas Jefferson, Sugar Creek, Apple Glen, Mary Mae, RE Baker & Elm Tree. After school care is $100 per child per week. Full day summer camp is $200 per week.

Child's Name *

Child's Birthday *

YYYY

Which elementary school will your child attend during the 2022-23 school year? We only pick up from Thomas Jefferson, Sugar Creek, Mary Mae, Apple Glen, RE Baker and Elm Tree. *

Select your child's grade for the 2022-23 school year *

Kindergarten

First grade

Second grade

Third grade

Fourth grade

When would you like for your child to start Character Kids? Provide month and year *

Today's Date *

YYYY

Parent / Guardian Name(s) *

Parent / Guardian Phone Number(s) *

Parent / Guardian Email(s) *

Are you seeking admission for more than one child? If yes, please write the name. *

Which program would you like to attend? *

After School Program

Summer Camp

Both

Please list the names of any siblings who have previously attended Dock Preschool or Character Kids

For further information or to schedule a tour, you can contact us via email, text or phone call

dockandcharacterkids@fccww.org
Text or Call: 479-899-4888

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