Eugene KITS Summer Program Application 2020
The Eugene Kids In Transition to School (KITS) summer program is intended for students who will be entering kindergarten in Fall, 2020.

During the KITS program your kids will:
- Learn to make friends & cooperate
- Build beginning reading & counting skills
You will:
- Learn skills to reduce parenting stress
- Learn how to connect with your child’s school

KITS will be centrally located at Chávez Elementary School and will run 3 days a week on Tuesdays, Wednesdays, and Thursdays for 2 hours from July 7, 2020 through August 20, 2020. This is followed by three Saturday sessions on August 29 and September 12 & 19.

While we have limited capacity, we encourage all interested families to apply! Families will be notified about the status of their application by the end of May .

For questions or assistance, please contact Alicia Longoria at 541-790-7230

Applications due by May 22, 2020
Student's full name *
Your answer
Parent(s) full name(s) *
Your answer
Home address *
Your answer
Phone number *
Your answer
Email address
Your answer
Preferred method of communication *
Required
Child's date of birth (mm/dd/yyyy) *
Your answer
Home language *
Your answer
Our program runs 3 days a week, July 7- August 20, Tuesdays through Thursdays. This is followed by three Saturday sessions on August 29, September 12 & 19. Attendance is important. Please let us know if you are able to participate in the full program. Please list any dates that you will be unable to attend. *
Your answer
Does your child receive services through an IFSP (Individualized Family Service Plan), including Speech and Language? *
Has your child ever attended preschool? If so, please list any preschool your child is currently attending or has attended in the past. *
Your answer
Please list any medical concerns, including allergies or dietary restrictions *
Your answer
Which school will your child attend Kindergarten in the Fall? (Child must be fully registered by June 30th to participate in the Eugene KITS summer program) *
If transportation is not available, will that exclude you? *
KITS will offer two time slots. While we cannot guarantee placement, please indicate your preference (finalized program times may shift slightly): *
Required
Parent Group is a component of KITS and runs one day a week at the same time as the student group. We provide free childcare for any siblings during the Parent Group. Will you be able to attend sessions on Thursdays? *
If you will be attending Parent Group, how many other children would be attending our child care during that time? (name, age) *
Your answer
Tell us about your kindergartener! Please share your child's interests.
Your answer
Are there details about your home/cultural life that would help our teachers plan to support your child:
Your answer
Are there any concerns you have or additional things you would like to share with us?
Your answer
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