Enrollment Application

Parent/Legal Guardian Name

First Name

Last Name

Child’s Name

First Name

Last Name

Birth Date

YYYY

Which Program?

For Kids Towne (Elementary After-School), please select the school your child attends:

Thurman Francis Elementary

Stewarts Creek Elementary

Rocky Fork Elementary

Smyrna Elementary

Stewartsboro Elementary

Email Address

Phone

(###)

###

####

Best Way to Contact You

How did you hear about us?

Enrollment

Enrollment shall be granted without regard to sex, race, color, creed, religious or political affiliation. When more applications are received than there are places to fill, the following procedure is used:

Your name and information will be added to a waiting list. There is no cost or obligation to be added to this list.
As opportunities to enroll become available, we start calling off the waiting list.
A non-refundable enrollment deposit consisting of the first week’s tuition, registration fee, and annual academic fee would be due at that time to secure a spot for your child. This deposit is not paid until a spot can be guaranteed for your child.