Interest Form (2022-2023 School Year)
Dear Family,

Please fill out the form below to show which class(es) you would be interested in having your child attend for for the 2022-2023 school year. If you are interested in a variety of options, please indicate below by checking multiple class options. Making a selection below does not guarantee enrollment.

Thank you!!!!
Email *
Best contact number (you will be contacted once enrollment for the 2022-2023 school year begins) *
Which class will your child be eligible for? (Note: We do not have a class for students younger than 3.) *
Required
Desired school attendance days (Note: school hours are 8:30-4:00pm. Before/aftercare is selected on the next section. Arrival time is from 8:30am-8:40am and all students are expected to be on time!) *
Required
Before/Aftercare Information
o We follow all HCPSS weather-related delays, closings, and early dismissal announcements.
o If HCPSS is closed for the day, before and aftercare will also be closed.
o If HCPSS has a two-hour delay, before care will open at 9:00am.
o If HCPSS has a one-hour delay, before care will open at 8:00am
o If HCPSS has an early dismissal, aftercare will not be provided and students will be required to be picked up at 1:00pm.
o Before and aftercare will not be offered on non-school days.
o Before/aftercare can be closed entirely, closed early, or delayed at the full discretion of Miss Cheyenne.
o Although unlikely, before/aftercare can be closed due to utility outages, unforeseeable natural events,
pandemics/epidemics, or other emergencies out of the control of MCPKA at the full discretion of Miss Cheyenne.
o Before/aftercare tuition is due regardless of your child's attendance.

Before/Aftercare (Note: before/aftercare must be selected for the same days your child attends school). *
Required
How did you hear about us (current/past MCPKA family, google search, facebook group, etc)? *
Your Child's Name *
Child's Date of Birth: *
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DD
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Parent/Guardian Filling Out This Form: *
Anything else that you would like us to know?
A copy of your responses will be emailed to the address you provided.
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