Welcome to Jumping Dreams After School Programming
Jumping Dreams After School at KIPP Change Academy 📍 5431 Hickory Grove Rd, Charlotte, NC 28215 We’re excited to welcome your child to Jumping Dreams After School at KIPP Change Academy—a safe, engaging, and enriching program for students in Kindergarten through 8th grade. Each afternoon, students will enjoy:A daily snack. Homework help to stay on track academically. Social development activities to build teamwork, communication, and confidence Program Hours:Monday–Friday | 3:10 PM – 6:00 PM Program Fees:One-time Registration Fee: $40 per child Weekly Tuition: $65 per child (due Friday for the upcoming week) Monthly Tuition: $260 per child We will attend open house to help answer any questions.
Parent Guardian Info
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Address
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Student Information
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Kinder
1st
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3rd
4th
5th
6th
7th
8th
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Any Medications or Behaviors we should be aware of?
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Student Information
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Grade
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Kinder
1st
2nd
3rd
4th
5th
6th
7th
8th
Teacher
Date of Birth
Any allergies
Please Select
Yes
No
If answered yes, please list them.
Any Medications or Behaviors we should be aware of?
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Yes
No
If answered yes, please list them and schedule if camper needs to administer their medication.
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Voluntary Information
Ethnic Background
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African American
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Annual Household Income
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>32,150
32,151- 42,760
42,761- 44,387
44,388- 48,225
48,226- 64,300
64,301- 96,450
96,451- 128,600
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1
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Registration
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
September 1- 5th
$
65.00
Quantity
Price
1 Scholar
1
2
3
4
5
6
7
8
9
10
$
65.00
2 Scholars
1
2
3
4
5
6
7
8
9
10
$
120.00
3 Scholars
1
2
3
4
5
6
7
8
9
10
$
180.00
4 Scholars
1
2
3
4
5
6
7
8
9
10
$
240.00
Item subtotal:
$
0.00
September 8-12
$
65.00
Quantity
Price
1 Scholar
1
2
3
4
5
6
7
8
9
10
$
65.00
2 Scholars
1
2
3
4
5
6
7
8
9
10
$
120.00
3 Scholars
1
2
3
4
5
6
7
8
9
10
$
180.00
4 Scholars
1
2
3
4
5
6
7
8
9
10
$
240.00
Item subtotal:
$
0.00
September 15-19th
$
65.00
Quantity
Price
1 Scholar
1
2
3
4
5
6
7
8
9
10
$
65.00
2 Scholars
1
2
3
4
5
6
7
8
9
10
$
120.00
3 Scholars
1
2
3
4
5
6
7
8
9
10
$
180.00
4 Scholars
1
2
3
4
5
6
7
8
9
10
$
240.00
September 22- 26th
$
65.00
Quantity
Price
1 Scholar
1
2
3
4
5
6
7
8
9
10
$
65.00
2 Scholars
1
2
3
4
5
6
7
8
9
10
$
120.00
3 Scholars
1
2
3
4
5
6
7
8
9
10
$
180.00
4 Scholars
1
2
3
4
5
6
7
8
9
10
$
240.00
Credit Card Details
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Refunds:
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