* = Required Information
TOD JR PRE SR/PRE KGT SA
  1. will be attending WCKK for the whole summer and is expected to stay in September 2016.
  2. will not be attending WCKK for the whole summer, but will be returning in September 2016. Tentative last day of care will be
  3. will be attending daycare for the summer but will not be returning in September 2016. Tentative last day of care will be
  4. will not be attending daycare for the whole summer and will not be returning in September 2016. Last day of care will be

PLEASE CHECK MARK FOR WEEKS HERE AND LEAVE BLANK FOR WEEKS AWAY

July 4 - 8 July 11 - 15 July 18 - 22 July 25 - 29
Aug 1 - 5 Aug 8 - 12 Aug 15 - 19 Aug 22 - 26
Aug 29 - Sept 2
Security code