Enrollment Information Request

Please complete and submit the following form, and someone in your area will contact you with more information.

By completing this form, you are requesting that a KLC School Partnerships' representative contact you to discuss program specifics. To enroll your child, please select Enrollment from the Parents' Place menu to download and print enrollment forms; complete these forms and take them to your Champions' Program manager.

*Required Fields

*First Name:
*Last Name:
*Address:
*City:
*State:
*ZIP:
*Phone 1: -
Phone 2: -
E-Mail:
Best Contact Time:
*Best Contact Method
*School District:
*School Name:
*Age(s) of children:

Program Interests:
(choose all that apply)
School-Age Care
Preschool
Kindergarten Enrichment
Preschool/Kindergarten Wrap Around
Spring/Winter Break
Summer Camp
Holiday Camp

Schedule Interests:
(choose all that apply)
Full-time
Part-time
Before School
After School
*How did you hear about
KLC School Partnerships?
Please Specify
Comments/Questions:




Privacy Statement
KLC School Partnerships recognizes that we must maintain and use visitor information responsibly. KLC School Partnerships does not sell or exchange names for promotional programs.