Junction City 21st Century Community Tearning Center
(21CCLC Afterschool Program) Enrollment Form
August 30, 2021 - May 5, 2022
If you are interested in your child participating in the 2021-2022 21CCLC AfterSchool Program
Please fill out the information below and return this form to the school
Bus transportation is available for students living intown only.
If you have any questions call the number below!
elementary office: (870)-899-4043.
***IF YOUR CHILD WILL NOT ATTEND DO NOT SUBMIT THIS FORM.***