Thank you for your interest in GRACEdiscovery Center School-Age program. Before/After School Fall 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 care provider!

| low classroom ratios |

| Drop-off & Pick-up at: eee, eei, eem |

SCHOOL-AGE
BEFORE/AFTER SCHOOL ENROLLMENT REQUEST

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

Need More Info?

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Work Phone

(###)

###

####

Which are you applying for?

2021 School-Age Summer Program

2021-2022 After-School Program (Starting in the fall)

Both

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

| low classroom ratios |

| Drop-off & Pick-up at: eee, eei, eem |

SCHOOL-AGE BEFORE/AFTER SCHOOL ENROLLMENT REQUEST

SCHOOL-AGE
BEFORE/AFTER SCHOOL ENROLLMENT REQUEST