Kinder Kare After School Enrollment Request for 2023-2024

Please complete the form to register your child for the Kinder Kare After School program for the 2023-2024 school year. We only have 8 spots. We will contact you within 24 hours to let you know if you are enrolled in the program or placed on a wait list.

Date *

Parent/Guardian Name *

Primary Email Address *

Primary Phone Number *

Child (1) Name *

Child (1) Birthdate *

Child (1) School Name *

Child (2) Name

Child (2) Birthdate

Child (2) School Name

Will your child need transportation? *

Are you a current Fitness Center member? *

Is your child(ren) a current member(s)? *

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