Extended Care Registration
The King's Academy at Village View
Student Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Grade
Please Select
K
1
2
3
4
5
6
7
8
9
10
11
12
Extedned Care
Before Care
After Care
Both Before & After
Holiday Camp
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Name
First Name
Last Name
Parent 2
Please enter a valid phone number.
Name
First Name
Last Name
Phone Number
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Submit
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