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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!

| Starting fall 2019 |

| 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.

Name *
Name
Address *
Address
Cell Phone *
Cell Phone
Work Phone
Work Phone
Which are you applying for? *
Child #1 Name *
Child #1 Name
Child #1 Date of Birth *
Child #1 Date of Birth
Child #2 Name
Child #2 Name
Child #2 Date of Birth
Child #2 Date of Birth
Child #3 Name
Child #3 Name
Child #3 Date of Birth
Child #3 Date of Birth