S.P.A.R.K. After School Enrollment Request for 2023-2024

Please complete the registration form to reserve a spot for your child(ren) in the 2023-2024 S.P.A.R.K. Afterschool Program. Spots are limited! We will contact you to let you know if you are enrolled in the program or placed on the wait list.

Date *

Parent/Guardian Name *

Primary Email Address *

Primary Phone Number *

Child (1) Name *

Child (1) Birthdate (Must be in 1st grade) *

Child (1) School Name *

Child (1) Grade for 2023-2024 School Year *

Child (2) Name

Child (2) Birthdate (Must be in 1st grade)

Child (2) School Name

Child (2) Grade for 2023-2024 School Year

Child (3) Name

Child (3) Birthdate (Must be in 1st grade)

Child (3) School Name

Child (3) Grade for 2023-2024 School Year

Will you need transportation? *

Are you a Fitness Center member? *

Is your child(ren) a member of the Fitness Center? *

Comments (If your child is in kindergarten they must sign up for the KinderKare program)