Hello Parents!
Please fill out the following form and we will contact you as we open Before School registration at your school. A minimum enrollment of 10 children attending the program weekly must be met for the Before School program to be offered.
Parent Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
School Your Child Will Attend
*
Please Select
Irving Middle
Jackson Elementary
Jefferson Elementary
John Adams Elementary
LakeviewElementary
Lincoln Elementary
Longfellow Middle
McKinley Elementary
Monroe Elementary
Truman Elementary
Truman Primary
Washington Elementary
Whittier Middle
Wilson Elementary
Is your child enrolled in the current program?
*
Yes
No
Are you a district employee?
*
Yes
No
Does your family receive OKDHS childcare assistance?
*
Yes
No
What day(s) are you interested in enrolling your child for?
*
Monday
Tuesday
Wednesday
Thursday
Friday
How many child(ren) do you plan to enroll?
*
1 Child
2 Children
3+ Children
Submit
Should be Empty: