Children's Learning Registration

Families, please use the form below to register your child/ren's participation in programs for 2020-2021.

FOR THE FALL (September - December): supplies will be provided once/month for four weeks of learning and activities. These will be done at home. More instructions about how/when/where to pick up these supplies will be provided soon.

2020-2021 Family Registration Form

Please fill out one form per family unit.

* Indicates required field

Family Last Name *

Parent/Guardian Names *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

How many children are participating? *

Phone Number *

Email *

Submit