2023-24 Village Pre-registration New Student Waitlist
Pre-registration for The Village Afterschool Enrichment Program for the 2023-24 school year.
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Email *
Your first and last name *
Phone number *
Names, ages, and grade levels of child(ren) to be enrolled *
Which school will your child(ren) attend in fall 2023? *
How many days a week will your child be enrolled at The Village? Note: all listed schedules are subject to availability. Waitlist reservation is not confirmation of a given schedule. Available openings are determined by grade level, school location, and enrollment schedule, due to transportation logistics. Waitlist will be established on a first come basis. Rates listed are based on current rates and may be subject to up to a 7% increase before the 2023-24 school year begins. Transportation is currently provided from Burlington, Poly Drive, and Rose Park Elementary Schools. Additional routes from West End schools may be added for fall 2023, including Meadowlark. *
If you selected "other combination" above, please specify which days of the week you are interested in having your child at The Village. Part-time schedules aren't guaranteed by this selection, and are available on a limited basis. *
Please indicate if your child has any allergies, health conditions, behavioral conditions, or special needs. *
Yes
No
Allergies
Health conditions
Behavioral conditions
Other special needs
Vaccinations current?
IEP or 504 currently in place?
If you responded yes to any of the conditions (or no to vaccinations) listed above, please offer a brief description here. If you responded no, type N/A. *
I understand that waitlist reservation does not guarantee my child's enrollment, but does establish waitlist status, in the order received. I understand that to secure my child's enrollment position, I must pay the pre-registration deposit of $25 per child within 5 days of notification of enrollment. Enrollment confirmation for new students will begin by May 31, 2023. Pre-registration deposits are non-refundable and are credited toward the annual registration fee. Please type your full name as signature. *
How did you hear about The Village? *
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