ZION AFTERSCHOOL MINISTRY 2026-2027      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 pre-register children in the Clarence Center Elementary School District, grades K-5.  We accommodate the child care needs of currently enrolled  students first.  This pre-registration merely holds your spot if a waiting list is established, it does not guarantee your child's placement.          
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Parent/Guardian First and Last Name *
Mobile Phone Number *
Email *
How many children do you wish to enroll? 
Children's Names and Grade Entering in the Fall     (Please list)     *
Which days will your child need care? *
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