Application Form
Please complete the form below and click submit.
Parent/Guardian Information
First Name
*
Last Name
*
Relationship
*
- Select One -
Mother
Father
Grandmother
Grandfather
Guardian
Joint Custody
Other
Address
*
Email
*
Phone
*
Child Information
First Name
*
Last Name
*
Date of Birth
*
Req. Start Date
*
Summer Program
*
Week 1: June 2-6
Week 2: June 9-13
Week 3: June 16-20
Week 4: June 23-27
Week 5: June 30 - July 4
Week 6: July 7-11
Week 7: July 14-18
Week 8: July 21-25
Week 9: July 28 - Aug 1
Week 10: Aug 4-8
Session
*
AM Session: 9:00am -1:00pm $160/week
PM Session: 1:00pm - 4:00pm $135/week
Extended Session: 9:00am - 4:00pm $200/week
Age Group
*
2-3 years old
3-4 years old
5-10 years old
*
To ensure your child gets the full benefit of the program we require a 5-week minimum. Our activities and learning progression are designed to build over time and this ensures your child experiences consistent growth and development.
Location
The Newcastle School
12257 S 800 E
Draper, UT
84020
801-553-0622
Secure Payment
Application Form Fee
: Select a location above
Name On Card
Credit Card
Submit
Application Form Successful
Your application has been received.
