Creekside Kids Academy Application

2740 Rasmussen Road, Park City, Utah 84098
You MUST Submit before leaving this form or ALL entries will be lost.

Child

Please enter the child's full name (example: use Joseph not Joe)
Gender *
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If your application is for a child not yet born, enter baby for first name, check unborn for gender, and enter the expected delivery date in the birth date field.
Toilet trained *

Academic Year Program

Please select the academic year and academic year program you request for your child
Enrollment priority is based on submission date and time.
Visit our website creeksidekids.net for schedules, tuition, and fees
Early Learning Infant & Toddler Program: (Birth - 23 months) Program runs Monday – Friday, 8:00am - 4:35pm. If you are late to pick-up your child you will be charged a late fee. Late fees are assessed per minute. Fees start 10 minutes after your scheduled pick up time.
Early Learning Infant & Toddler Program
Early Learning Program: (2 years to 5 years) 
Program Options:
Full Day (8:00am – 4:35pm)
Morning (8:00am - 11:35am)
Afternoon (1:00pm - 4:35pm)
 
If your child will be attending our Early Learning Program, please select your days, the duration and any morning or afternoon extensions. If you are late to pick-up your child you will be charged a late fee. Late fees are assessed per minute. Fees start 10 minutes after your scheduled pick up time.
Early Learning Program days
Early Learning Program duration
Monday Morning 
Extension
Tuesday Morning 
Extension
Wednesday Morning 
Extension
Thursday Morning 
Extension
Friday Morning 
Extension
Afternoon extension 12:00 pm
Preppy-K & Private Kindergarten Program: Our Preppy-K & Private Kindergarten Program is for older 4 year old's who have missed the cutoff date at the School District and have had 2 previous years of Preschool and 5-6 year old's.
Program Options:
Extended Day (Monday – Friday 8:00am – 2:35pm)
Full Day (Monday – Friday 8:00am – 5:20pm)
 
If your child will be attending our Preppy-K & Private Kindergarten Program, please select your duration. If you are late to pick-up your child you will be charged a late fee. Late fees are assessed per minute. Fees start at 2:45pm for extended day students and at 5:30pm for full day students.
Preppy-K & Private Kindergarten Program
Elementary After School Program: (Kindergarten to 5th Grade) Program runs until 5:20pm. If your child will be attending our Elementary After School Program, please select your days and location. Must be currently attending elementary school. If you are late to pick-up your child you will be charged a late fee. Late fees are assessed per minute. Fees start at 5:30pm.
Elementary After School Program
Location
Time school lets out on days your child will attend after school program
Monday
Tuesday
Wednesday
Thursday
Friday

Summer Camp Programs

Please select the summer camp year and camp program you request for your child
Enrollment priority is based on submission date and time.
Visit our https://creeksidekids.net/wp-content/uploads/2022/01/2022-CombinedTuition.pdf
Early Learning Infant & Toddler Program: (Birth - 23 months) Program runs Monday – Friday, 8:00am – 4:35pm. If you are late to pick-up your child you will be charged a late fee. Late fees are assessed per minute. Fees start 10 minutes after your scheduled pick up time at 4:45pm.
Early Learning Infant & Toddler Summer Camp
Early Learning Summer Camp: (2 years to 5 years)
Program Options:
Full Day (8:00am – 4:35pm)
Morning (8:00am – 11:35am)
Afternoon (1:00pm – 4:35pm)
 
If your child will be attending our Early Learning Summer Camp, please select your days, the duration and any morning or afternoon extensions. If you are late to pick-up your child you will be charged a late fee. Late fees are assessed per minute. Fees start 10 minutes after your scheduled pick up time.
Early Learning Summer Camp days
Early Learning Summer Camp duration
Monday Morning 
Summer Camp 
Extension
Tuesday Morning 
Summer Camp 
Extension
Wednesday Morning 
Summer Camp 
Extension
Thursday Morning 
Summer Camp 
Extension
Friday Morning 
Summer Camp 
Extension
Afternoon Summer Camp Extension 12:00 pm
Elementary Summer Camp: (5 years to 12 years) (Kindergarten, as of January 1 - 5th Grade)
Program runs from 8:00am - 5:20pm. If your child will be attending our Elementary Summer Camp, please select your days. Must be currently attending elementary school. If you are late to pick-up your child you will be charged a late fee. Late fees are assessed per minute. Fees start at 5:30pm.
Elementary Summer Camp days

Interest Questions

Previous care: Has your child attended any other schools or childcare before? Which? Describe their experience.
Continuing care: Do you have an interest in continuing your child’s education with Creekside Kids Academy beyond this coming year? If yes, how long?
Whom to thank: If you were referred to Creekside Kids Academy, please tell us whom to thank.
Special needs: Does your child have any special needs that we should be aware of (social, academic, physical, behavioral)?

Parent or Legal Guardian

Enter telephone number as 10 digits with no other characters

Parent or Legal Guardian Signature