Creative Kids School Age Summer Program 2024 Registration Form

School Age Summer Program 2024

Ages 5-12
Thank you for your interest in our Summer Program!

Hours of Operation: 8:00am-5:00pm each day
Weekly Rate: $450

Daily Rate: $97

All rates include field trip fees, transportation, breakfast, and snacks.

We kindly ask that you please provide lunch for your child each day of attendance.

Thank you!
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Phone Number
Please enter a valid phone number.
Parent/Guardian Email
example@example.com
Parent/Guardian Email
example@example.com
Child's Information
Child's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Grade Level
Please select weeks of attendance: July 8th, 2024 - August 23rd, 2024

Week 1Week 2Week 3Week 4Week 5Week 6Week 7
Signature of Parent/Guardian

Clear
Date Signed

MonthDayYear
Date
Should be Empty:

School Age Summer Program 2024