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    Club J 2021–2022 School-Age Care Application





    The Family Application Fee is a non-refundable $25 fee for the Club J Program. Once submitted your application will placed on our interest list for the 2021–2022 school year. Acceptance into Club J is not guaranteed until availability is confirmed.

    Once availability is confirmed, final enrollment in Club-J is contingent upon the completion of the Club J enrollment packet and receipt of a $475 refundable registration/material fee.


    Child's Information












    2nd Child's Information













    3rd Child's Information














    Parent/Guardian 1 Information









    Address










    Note: The above email will receive an automated confirmation of your registration. Please list one address only.



    Parent/Guardian 2 Information




























    Address (if different from Parent/Guardian 1)











    Payment Information










    Total Price:

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