2024 Request for Enrollment Packet ~             Summer Kids' Club
This request DOES NOT guarantee acceptance into the SKC Program. It is a means for the Enrollment Coordinator to collect information to send out ONLINE program specific enrollment instructions which will be emailed separately by mid-April 2024.

**2024 will ONLY be located at Lakeland Elementary this year.  If staffing changes we will give the option for a Mill Creek location. Any questions please contact Joann Miracle.**

*** FOR EACH CHILD:  PLEASE complete ONE online submission  ***

Summer Kids' Club for school-age students entering TK/K through Fifth Grade (age 12).  Students must be 5 by June 21st 2024. 
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Email *
Enrollment Location: *
Child's Name *
Child Age/Birthdate & 2023/24 School Year Grade level
(Children must be 5 by June 21st 2024 and entering kindergarten in school year 2024/25)
Parent/Legal Guardian Name *
Contact phone # *
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