Application

Please fully complete the form to apply

PLEASE NOTE:

If you are not enrolling a school age child (Pre-k/age 4 or above) we cannot accept you. However, if you are enrolling a school age child we have a place for your under age 3.
If you are enrolling a school age child and have an under age 3 child, you can only enroll if you stay and volunteer for 2 hours.

We only take 6 months and above.
We only take 4th graders and below. If you have a 5th or 6th grader please inquire prior to applying.

Parent Information

Mother's First name

Last name

Phone

Address

Father's First Name

Father's Last Name

Email Address

Phone

Emergency Contact (other than parent)

Who do you entrust to pick up your children>

We are faith based and believe in Jesus. Do you attend church and where?

We are an integral part of King's House, would you like more information on King's House?

What are your hobbies/Talents that you enjoy? This will help us know in case you stay to help

Do you homeschool? For how long? If you are not a homeschooler, please tell us your children's educational background.

Please choose which program you are enrolling in. (You may not change programs within a semester's time)

2 Day Program (I am staying to help)

2 Day Program (I am dropping off)

3 Day Program (I am staying to help)

3 Day Program (I am dropping off)

What days of the week will you be attending? (You cannot change days, after you pick within a semester)

Monday

Wednesday

Friday

If you are staying to help, please list the classes you would like to help with. (We can not guarantee placement)

Are there any class types you would like to see in the future?

#1 Child's name

Birthday

Age

Grade ( as of Sept 2025)

Allergies