School Age Enrollment Form

THIS PROGRAM CURRENTLY HAS A WAITLIST.
INTERESTED FAMILIES ARE ENCOURAGED TO COMPLETE THE FORM BELOW AS ENROLLMENT AVAILABILITY MAY CHANGE

Hello! Please complete this form for your school age children (Kindergarten-Age 12) only. For younger children please click here to complete a different form.

* Indicates required field

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Please tell us about the child/ren you are looking to enroll:

My child's name is: *

First

Last

The grade my child is entering in Sept 2020: *

My child's date of birth is: *

My child's name is: *

First

Last

The grade my child is entering in Sept 2020: *

My child's date of birth is: *

Which program are you interested in? *

If your child is enrolling in the 1-3 Days BR is hybrid, will you need on/off the bus the other days? Please specify *

What times do you need your child/ren to attend? *

Do you currently have subsidy or need information on this? *

Submit

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