S.P.A.R.K. After School Enrollment Request for 2024-2025

Please complete the registration form to reserve a spot for your child(ren) in the 2024-2025 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. Kinder Kare has become part of the SPARK program for the upcoming school year. Space for Kindergarteners is limited.

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Today's Date *

Parent/Guardian Name *

First

Last

Primary Email Address *

Primary Phone Number *

Child (1) Name *

Child (1) Birthdate *

Child (1) School Name *

Child (1) Grade for 2024-2025 School Year *Kindergarten1st2nd3rd4th5th

Child (2) Name

Child (2) Birthdate

Child (2) School Name

Child (2) Grade for 2024-2025 School YearKindergarten1st2nd3rd4th5th

Child (3) Name

Child (3) Birthdate

Child (3) School Name

Child (3) Grade for 2024-2025 School YearKindergarten1st2nd3rd4th5th

Will you need transportation? *

• Yes
• No

Are you a Fitness Center member? *

• Yes
• No

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

• Yes
• No

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