Online Application
There is a non-refundable registration fee.  
You must send payment to ensure your child's spot is reserved.
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Email *
Child's Name (First, Middle, & Last) *
Male or Female *
Date of Birth *
MM
/
DD
/
YYYY
Primary Phone # *
Mother's Name *
Father's Name *
Please choose preferred number of days per week *
Required
Allergies
Is your child/family new to the APPK Program?  (Please list all previous APPK students)
Additional notes/requests
Date form was completed
MM
/
DD
/
YYYY
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