Summer Program Interest Form - Creative Kids Academy

Summer Program Inquiry

This field is hidden when viewing the form

Next Steps: Sync an Email Add-On

To get the most out of your form, we suggest that you sync this form with an email add-on. To learn more about your email add-on options, visit the following page (https://www.gravityforms.com/the-8-best-email-plugins-for-wordpress-in-2020/). Important: Delete this tip before you publish the form.

------------------------------------------

Parent/Guardian Information

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City ZIP Code

How Can We Reach You?

Please note that this is not a guarantee of placement in the Summer program. This information will be sent to your preferred CKA center. They will contact you with additional information and availability.

Preferred Method of Contact

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You(Required)

Participant information

Please tell us the names and ages of the children you'd like to participate in the Summer program

Child 1(Required)

Child 1 Age(Required)

Child 2

Child 2 Age

Child 3

Child 3 Age

Select Your Preferred CKA Center (Centers with an asterisk offer a school age program as well)(Required)

Your Comments/Questions(Required)