Registration Note: For the Parent and Child Program, click here. For the Summer Program, click here. Child’s InformationChild’s Name *Date of Birth *Address *Family InformationLegal GuardianLegal Guardian Name *Relationship to child *Address (if different from above)Email Address *Phone Number *Second Legal Guardian (if applicable)Second Legal Guardian NameRelationship to childAddress (if different from above)Email Address *Phone Number *Alternate Family ContactAlternate Family Contact Name *Relationship to Child *Address (if different from above)Email AddressPhoneRegistration offered on the following Friday dates. Please check all that apply: *November 18January 27March 3April 28June 16After Care?Yes SUBMIT APPLICATIONPlease do not fill in this field.
