2018-2019 Extended Learning Center Registration
The NC Division of Child Development requires a separate application for each child. Complete fee information is available on the webpage.
Please read and check this box to continue
I understand that this form is only part of the registration process. For registration to be completed parent/guardian must attend a class with the program coordinator and pay in advance of the child's attendance.
Please Select School
Blowing Rock ELC
Cove Creek ELC
Green Valley ELC
Hardin Park ELC
Valle Crucis ELC
Child's First Name
Child's Last Name
Child Goes By
Name child goes by:
Student ID Number
Same as cafeteria number
Child's Date of Birth
First Day the Child will Attend the Program
Child's Current Teacher
Child's Current Grade Level
Middle School Volunteer (this option requires the child to be a helper to our younger children)
Never submit passwords through Google Forms.
This form was created inside of Watauga County Schools.
Terms of Service