Summer Interest Form | King's House

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Interest Form

Parent information

Last name

Mother's name

Mother's Email

Mother's Phone

Father's name

Father's Phone

Father's Email

Address

Who do you entrust to pick up your children if you are not available?

Emergency Contact Information

We are faith based and believe in Jesus (See mission statement) Do you attend church? Wnere do you attend chruch?

Would you like additional information about King's House?

What are your hobbie/talents or subjects you enjoy? This helps us put you in areas to serve.

How long have you been homeschooling?

Choosing Program: Reminder we are not a "drop off program" You must stay and serve 2 hours each day you enroll.

Parent enrolling in:

1-Day program

2-Day program

3-Day program

Choosing Which Days of the week:

You must indicate which days you will be
attending and commit to those days and not switch.

Parent enrolling in:

Monday

Wednesday

Friday

Please list class time hours you would like to assist in between 9 am - 1 pm?

We can't guarantee placement in those hours but will try.

Please list classes you might be interesting in teaching?

We can't guarantee placement in those hours but will try.

Student information

# 1 Child's name

Age

Birthday

Child enrolling in: * Required

Nursery-Preschool

Pre-K

Kinder

1st

2nd

3rd

4th

Allergies

Please inform leadership and teachers of any learning differences or special needs that may affect the students participation, so we can better help your student.

# 2 Child's name

Age

Birthday

Child enrolling in: * Required

Nursery-Preschool

Pre-K

Kinder

1st

2nd

3rd

4th

Allergies

Please inform leadership and teachers of any learning differences or special needs that may affect the students participation, so we can better help your student.

# 3 Child's name

Age

Birthday

Child enrolling in: * Required

Nursery-Preschool

Pre-K

Kinder

1st

2nd

3rd

4th

Allergies

Please inform leadership and teachers of any learning differences or special needs that may affect the students participation, so we can better help your student.

#4 Child's name

Age

Birthday

Child enrolling in: * Required

Nursery-Preschool

Pre-K

Kinder

1st

2nd

3rd

4th

Allergies

Please inform leadership and teachers of any learning differences or special needs that may affect the students participation, so we can better help your student.

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Interest Form

Parent information

Choosing Program: Reminder we are not a "drop off program" You must stay and serve 2 hours each day you enroll.

Choosing Which Days of the week:

You must indicate which days you will be attending and commit to those days and not switch.

Please list class time hours you would like to assist in between 9 am - 1 pm?

Please list classes you might be interesting in teaching?

Student information

You must indicate which days you will be
attending and commit to those days and not switch.