2024 Summer SAC/WA- Registration form
Registration is due May 1st, 2024. After this date, registration will be accepted in accordance with staffing numbers. 

Summer Dates are June 10th - August 20th
Hours are 6:30 AM - 5:30 PM

$35.00 Registration fee per child. Fee will be added to first invoice of summer. 
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Email *
Child's name *
Child's Grade (entering in the fall): *
Name your child prefers to be called: *
Child resides with: *
Parent #1 First and Last Name *
Parent #1 Primary Phone Number *
Parent #2 First and Last Name
Parent #2 Primary Phone Number
If answered resides with OTHER, please list the person's first and last name.
If answered residers OTHER, please list the relationship to child.
Does your child receive special services while at school (ex. IEP)? Any other significant information about your child that you feel we should know?
Does your child have any allergies or medical conditions we should know about?  *
T-Shirt Size *
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