Youth Program Waitlist
Guardian Name
*
First Name
Last Name
Email
*
Phone Number
*
Format: (000) 000-0000.
How many children are you interested in enrolling?
*
Please Select
1
2
3
4
5
6
Child’s Name:
*
First Name
Last Name
Child’s age by Aug. 5, 2026:
*
Second Child’s Name:
*
First Name
Last Name
Second Child’s age by Aug. 5, 2026:
*
Third Child’s Name:
*
First Name
Last Name
Third Child’s age by Aug. 5, 2026:
*
Fourth Child’s Name:
*
First Name
Last Name
Fourth Child’s age by Aug. 5, 2026:
*
Fifth Child’s Name:
*
First Name
Last Name
Fifth Child’s age by Aug. 5, 2026:
*
Sixth Child’s Name:
*
First Name
Last Name
Sixth Child’s age by Aug. 5, 2026:
*
What school(s) will your child(ren) attend for the 2026-27 school year? Select all that apply.
*
Daniel Webster School 46
Edison School Of The Arts, IPS 47
William Penn School 49
Other
Are you interested in the following? Select all that apply:
*
Summer Day Camp
After-School Care
Submit
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