Initial inquiry GAK
Early Childhood & After School Program
Student’s Name
*
First Name
Last Name
Student's Birth Date
-
Month
-
Day
Year
Date
What grade will {studentsName} be going into for next school year, or currently if this is a mid year registration.
Parents/Guardian name
*
First Name
Last Name
{parentsguardianName} Email
*
example@example.com
Phone Number
Please enter a valid phone number.
What program would you like to enroll your child.
Please Select
After-school
Early childhood
Back
Next
Student name
First Name
Last Name
What program will {studentName} be attending?
*
Please Select
Expressionists PreK/K 4 to 5 year old
Impressionists: Children between 2.5 - 4 years old
Would you be interested in Full days or Half days?
*
Please Select
Full Days
Half Days
Great, how many days would like {Studentsname} to join us?
*
Please Select
2 half days AM, 8:30am - 11:30am
2 half days PM, 12:00pm - 3pm
3 half days AM, 8:30am - 11:30am
3 half days PM, 12:00pm - 3pm
4 half days AM, 8:30am - 11:30am
4 half days PM, 12:00pm - 3pm
5 half days AM, 8:30am - 11:30am
5 half days PM, 12:00pm - 3pm
Great, how many days would like {Studentsname} to join us?
*
Please Select
2 full days, 8:30am - 3:00pm
3 full days, 8:30am - 3:00pm
4 full days, 8:30am - 3:00pm
5 full days, 8:30am - 3:00pm
Great, what days would you like to choose for {Studentsname}?
*
Please Select
3 half days AM, 8:30am - 11:30pm
3 half days PM, 12:00pm- 3:00pm
4 half days AM, 8:30am - 11:30pm
4 half days PM, 12:00pm- 3:00pm
5 half days AM, 8:30am - 11:30pm
5 half days PM, 12:00pm- 3:00pm
Great, what days would you like to choose for {Studentsname}?
*
Please Select
3 full days, 8:30am - 3:00pm
4 full days, 8:30am - 3:00pm
5 full days, 8:30am - 3:00pm
Would you like to register to our lunch option?
*
Please Select
Yes
No
Would you like to register to our extended day option?
*
Please Select
Yes
No
5 days it is!
Monday
Tuesday
Wednesday
Thursday
Friday
Please select the two days you would like to attend.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Please select the three days you would like to attend.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Please select the four days you would like to attend.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Comment/Questions
Back
Submit
Next
Student name
First Name
Last Name
How many day would you like {studentname} to attend.
*
Please Select
5 days
4 days
3 days
2 days
Friday only
Early release only
5 days it is!
Monday
Tuesday
Wednesday
Thursday
Friday
Please select the four days you would like to attend.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Please select the three days you would like to attend.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Please select the two days you would like to attend.
*
Monday
Tuesday
Wednesday
Thursday
Friday
Early release only
Monday
Tuesday
Wednesday
Thursday
Friday
We offer pick up from these schools, would you like us to transport your child?
*
Please Select
NO, I will drop off my child
Yes, COLUMBIA (Walking pick up)
Yes ,SILVER BEACH (Van pick up)
Yes, HAPPY VALLEY (Van pick up)
Yes, LOWELL (Van pick up)
Yes, NORTHERN HEIGHTS (Van pick up)
Yes, PARKVIEW (Van pick up)
Yes,ROOSEVELT (Van pick up)
Yes, SUNNYLAND (Van pick up)
Yes, GENEVA (Van pick up)
Yes, BIRCHWOOD (Van pick up)
I do not see the school my child is attending and would like you to consider adding it to your list
Please let us know the name of {studentname}’s school so we can consider adding it to our route.
*
Comment/Questions
Submit
Should be Empty: