Thank you for your interest in GRACEdiscovery Center School Age Summer program. Summer openings are allotted according to the date your application packet and deposit are received and on a space-available basis. Submitting a waiting list request does not insure that we will be able to provide immediate enrollment. Thank you again for your interest in GDC as a future school age summer care provider!

SCHOOL AGE SUMMER ENROLLMENT REQUEST

Please fill out the form below. Submitting this form does not guarantee enrollment at our center.

2019 Summer Handbook

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Work Phone

(###)

###

####

Child #1 Name

First Name

Last Name

Child #1 Date of Birth

YYYY

Child #2 Name

First Name

Last Name

Child #2 Date of Birth

YYYY

Child #3 Name

First Name

Last Name

Child #3 Date of Birth

YYYY