ZION AFTERSCHOOL MINISTRY 2025-2026      PRE-REGISTRATION FORM
Zion Lutheran Church is a licensees School aged Child Care Provider (SACC). The program is in operation during the school season.  We are accepting applications to enroll children in the Clarence Center Elementary, grades K-5.  
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Parent/Guardian First and Last Name *
Mobile Phone Number *
Email *
How many children are you enrolling? 
Children's Names and Grade Entering in the Fall     (Please list)     *
Which days will your child need care? *
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