2024/2025 CKC Main Street Application

Thank you for your interest in our 24/25 after school program! This is the first step of three needed to enroll. 

Please complete the form below to join our virtual enrollment line. A separate application will need to be entered for each child. Siblings will be marked with the first entered time stamp.

Note that submitting the application DOES NOT GUARANTEE enrollment. 

Guardians will be notified by email when the child is accepted. They will need to fill out provider enrollment forms and submit registration payment.

Priority will be given to currently enrolled families, subsidized students, and student referrals.

If provided information is found to be falsified, we will change the timestamp to reflect the day the discovery was made.

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Email *
Child First Name *
Child Last Name
 *
Birthdate
MM
/
DD
/
YYYY
Select Student Grade in 24/25 *
Desired Schedule *
Required
Was your child enrolled in CKC during the 23/24 school year? *
Does your student have a sibling you would also like to enroll in the program in 24/25?
Does your student receive subsidized care?
Guardian First & Last Name *
Guardian Phone Number *
A copy of your responses will be emailed to the address you provided.
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