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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
[object Object]
The grade my child is entering in Sept 2020:
*
My child's date of birth is:
*
My child's name is:
*
First
Last
[object Object]
The grade my child is entering in Sept 2020:
*
My child's date of birth is:
*
What school district do you live in?
*
Blue Ridge
Montrose
Susquehanna
Elk Lake
Mountain View
Other
Which program are you interested in?
*
Mon/Tue: On & Off the Bus (Blue Ridge Student)
Thr/Fri: On & Off the Bus (Blue Ridge Student)
1 Full Day per week (School District Student)
2 Full Days per week (School District Student)
3 Full Days per week (School District Student)
5 Full Days (Virtual Learner)
4 Full Days (Virtual Learner)
Mon/Wed/Fri Full Days (Virtual Learner)
Tue/Thr Days (Virtual Learner)
1 Full Day (Virtual Learner)
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
Welcome
Our Story
What makes us different?
Parent Testimonials
>
FAQ
Keystone Stars
Food Program
Mommy Daddy & Me Program
Join Our Team
Programs
Toddler Program
Private PreK Program
Pennsylvania PreK Counts
School-Age Program
Contact Us!
Knowledge Crates