Enrollment Request Form - Afterschool Club - Middleton
Completion of the Enrollment Request Form will begin your Club Application process! Because our program has limited space, we expect that submission of this form indicates serious interest and full intent to enroll in the program if offered a spot. If we have the spot available for your child, completion of this form will enroll them.

Invoices for a non-refundable deposit equal to two weeks tuition will be sent to you by email.

If we do not have your requested days available, we will be in touch with you to discuss other options!

Please complete one form for EACH child in your family that you would like to enroll in Club!

For more information, please see www.creativesoulcamp.com/club
Email *
PARENT First and Last Name *
CHILD First and Last Name *
CHILD Age as of Sept 1, 2021 *
Elementary School and Grade for the 2021-2022 School Year *
Address *
Phone Number *
Are you submitting a separate Enrollment Request for another child in your family that we should link this form to? *
I confirm that I am enrolling my child for the Middleton Location of Club! (Middleton Community Church, 645 Schewe Rd, Middleton) *
Next
Never submit passwords through Google Forms.
This form was created inside of Creative Soul Camp. Report Abuse