2018 Summer (at THORNTON CREEK) Program Request Form
This form indicates your interest in one of our 2018 Summer Programs at THORNTON CREEK.

Please visit our Early Childhood website at: earlychildhood.northvilleschools.org for webinar information on our summer programs and the registration process prior to completing this form.

All 2018 Summer Programs will be held at THORNTON CREEK ELEMENTARY SCHOOL.

Please complete one Program Request Form per child by Thursday, March 22, 2018.
Forms received after this deadline will be processed when space becomes available.

If you have any questions, please email us at ecteam@northvilleschools.org

Our office staff will contact you regarding the registration process once placement is confirmed.

Child Legal First Name *
Your answer
Child Legal Last Name *
Your answer
Child Birth Date *
Child Gender *
Street Address (where child resides) *
Your answer
City *
Your answer
State, Zip Code *
Your answer
Child Current Grade in 2017-2018 School Year *
Child Current School *
Contact First Name *
Your answer
Contact Last Name *
Your answer
Relationship *
Contact Cell Phone *
Your answer
Alternate daytime phone
Your answer
Contact Email *
Your answer
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