Pre-Enrollment Summer Application
Kreative Learning Academy
Person completing the form
*
First Name
Last Name
Relation to the child:
*
Location (City & State)
*
City
State
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Child Information:
Child's Full Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Age:
*
Please Select
5
6
7
8
9
Will the sibling attend for Summer Enrichment or Daycare?
Please Select
For Summer Enrichment
For daycare only
Sibling's Full Name (if applicable)
First Name
Last Name
Sibling's Date of Birth
-
Month
-
Day
Year
Age:
Please Select
5
6
7
8
9
Summer Enrichment Expectations (Please mark each statement to continue):
I understand that my child must be fully potty trained for the Summer Program
I understand enrollment is based on availability and program approval
I understand tuition is due by Monday
I agree to follow all parent handbook policies
I understand even though this is a Summer Program, Kreative Learning Academy is structured and routine-based
How does your child typically respond to structure and positive discipline?
Very well
With adjustment
Still learning
Prefer unstructured environments
Support Needs
We strive to support children within our licensed ratios and program structure.
Does your child require accommodations beyond typical classroom supports?
No
Possibly
Yes (please explain)
Final Acknowledgment
By submitting this application, I acknowledge that:
Submission does not guarantee enrollment
This is a pre-enrollment Summer Enrichment Program interest form
Enrollment is based on availability, licensing, and program fit
Submit
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