Walker Academy Afterschool Program Application 2026

Walker Academy Afterschool Program Application 2026–2027

Walker Academy Afterschool Program Application. Program dates: August 10, 2026 – May 28, 2027. Program Hours are from 1pm-6pm Monday- Friday. Program Location: 23 8th street West. Please complete this application in its entirety to enroll your student. Tuition: Equivalent to $75 per week for 36 instructional weeks. No Registration Fee
Walker Academy provides hands-on vocational and workforce development programs designed to prepare students for real-world opportunities and professional success. Programs include: Barbering Cosmetology CNA & PCT Preparation Nail Technician Aesthetician Makeup Artist Graphic Design Audio Engineering General Mechanical Engineering Training
Parent/Guardian Information
Parent/Guardian Name

First NameLast Name
Relationship to Student
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred Method of Communication
Student Information
Student Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Age
Grade Level
Current School
Student T-Shirt Size
Emergency Contact
Emergency Contact Name
Relationship to Student
Primary Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Alternate Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Authorized Pick-Up
Authorized Pickup Persons
Primary Authorized Pickup Name
Primary Authorized Pickup Phone
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information
Does the child have any allergies?
Allergy details
Does the child require medication during program hours?
Medication instructions
Medical conditions, accommodations, or special needs
Date Submitted

MonthDayYear
Date
Should be Empty:

Walker Academy Afterschool Program Application 2026–2027

Parent/Guardian Information

Student Information

Emergency Contact

Authorized Pick-Up

Medical Information