School Age Application Summer 2019
Please fill out the following to apply for the summer 2019 school age program. This year, we will have three classrooms:

- one for 4K graduates who have done 4K outside of PSA
- one for Kindergarten graduates
- one for 1st and 2nd grade graduates

We will offer one session for 4K graduates from 6/3 through 8/23

We will offer two sessions for Kindergarten,1st and 2nd grade graduates:
Session 1 - 6/10-7/19 (6 weeks)
Session 2 - 7/22-8/23 (5 weeks)
You can apply for one or both sessions. Preference will be given to families who apply for both sessions.

The application is due February 15th. Once approved, we will send you a contract. The contract with the $250 deposit is due March 14th.

Email address *
Child's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Parent 1 Name *
Your answer
Parent 1 Phone *
Your answer
Parent 1 Email *
Your answer
Parent 2 Name
Your answer
Parent 2 Phone
Your answer
Parent 2 Email
Your answer
Are you interested in full days or half days? *
Please select the program you are applying for. *
Required
Select below if you need before or after school.
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