SRSRC YOUTH PROGRAMS INTEREST FORM

SRSRC YOUTH PROGRAMS INTEREST FORM

Complete this form to request enrollment for All Around Fun Lic. 376600645, Children's Center Preschool Lic. 376600420, Children's Center School Age Lic. 372006491, or Marshall Recreation Program. Please complete one form per child. A director will contact you if space is available.
YOUTH PROGRAMS

All Around Fun After School Program
- Serves students in TK-5th grade at Miramar Ranch Elementary School.
- Located at the Aviary location at 9875 Aviary Drive, San Diego, CA 92131.
Children's Center Before and After School Program
- Serves students in TK-5th grade at Jerabek Elementary School.
- Located at the Children's Center location at 10250 Scripps Trail, San Diego, CA 92131.
Children's Center Preschool
- Serves students ages 3-5 years old who are potty trained.
- Located at the Children's Center location at 10250 Scripps Trail, San Diego, CA 92131.
Marshall Recreation Program
- Serves students in 6th-8th grade at Marshall Middle School.
- Located at the Aviary location at 9875 Aviary Drive, San Diego, CA 92131.
Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
Date
Child's Current Grade*
Is your child currently enrolled in one of our school programs?*

NoYes - All Around Fun After School ProgramYes - Children's Center PreschoolYes - Children's Center Before and After School ProgramYes - Marshall Recreation Program
Does your child currently have a sibling enrolled in one of our school programs?*

NoYes - All Around Fun After School ProgramYes - Children's Center PreschoolYes - Children's Center Before and After School ProgramYes - Marshall Recreation Program
Select the School Year*
Select Your Requested Program*

All Around Fun After School ProgramChildren's Center Before and After School ProgramChildren's Center PreschoolMarshall Recreation Program
School Child Attends (or Will Attend while in the Selected Program)*

Miramar Ranch Elementary SchoolJerabek Elementary SchoolMarshall Middle SchoolOther
Preferred Preschool Schedule*

MWF Half DaysTTh Half DaysM-F Half DaysM-F Full DaysOther
Preferred Morning Schedule*

MWFTThM-FN/AOther
Preferred Afternoon Schedule*

MWFTThM-FN/AOther
Preferred Marshall Afternoon Schedule*

2 Days per Week3 Days per Week5 Days per Week
Preferred Days of the Week*

MondayTuesdayWednesdayThursdayFriday