McDonald After School Enrichment Enrollment

After School Enrichment for 2025/26

Pick up at McDonald International

Student Enrollment Form

223 NE 65th St. - Seattle, WA 98115 | www.littleexplorersseattle.com
Student name*

First NameLast Name
Student grade in September 2025
Student address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student birthday*

MonthDayYear
Date
Please select the days of the week you would like your child to attend. Monthly tuition rates are as follows: 2 days per week-$345 | 3 days per week-$425 | 4 days per week-$515 | 5 days per week-$605. Tuition is paid September through June and is divided into 10 equal payments with holidays and breaks taken into account. Payments are due each month no later than the 1st of the month. There is no credit for missed days.*

MondayTuesdayWednesdayThursdayFriday
Parent / Guardian 1*

First NameLast Name
Email*
example@example.com
Cell phone*

Area CodePhone Number
Work phone

Area CodePhone Number
Home phone

Area CodePhone Number
Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian 2

First NameLast Name
Email
example@example.com
Cell phone

Area CodePhone Number
Work phone

Area CodePhone Number
Home phone

Area CodePhone Number
Address (if different from student)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact

First NameLast Name
Email
example@example.com
Cell phone

Area CodePhone Number
Work phone

Area CodePhone Number
Home phone

Area CodePhone Number
Others who have permission to pick up your child
Does your child have any immunization exemptions? If yes, please explain.*
Upload student's immunization records.*

Browse Files

Cancelof
Does your child have any allergies or health concerns?*
Consent for medical treatment for your child:

I give permission for my child to be given emergency treatment by a licensed health care provider at the nearest emergency center. When I cannot be contacted, I authorize medical, surgical and hospital care, treatment and procedures to be performed for my child by a licensed health care provider when deemed necessary or advisable by a medical professional to safeguard my child’s health. I also give permission for my child to be transported by ambulance to an emergency center for treatment.
Please sign*

Clear
Permission for walks and trips to park

I give permission for my child to go on walks and to parks in the Green Lake neighborhood.
Please sign*

Clear
Does Little Explorers have permission to share your email address with other Little Explorers families?*

YesNo
Does Little Explorers have permission to post pictures of your child on our Facebook and Instagram page?*

YesNo
Please feel free to use the space below for any additional information.
Thank you for your registration!
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