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
Infant & Toddler Program: (Birth through two's) Program runs Monday – Friday, 8:00am - 4:35pm.  This classroom offers full time enrollment.  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.
Infant & Toddler Program
Early Learning Program: (2 & 3's) 
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
Early Learning Program morning extensions
Monday
Tuesday
Wednesday
Thursday
Friday
Early Learning Program afternoon extensions to 12:00 pm
Afternoon extension
Primary Program: Our Primary Program is for students 3.5 through 6 years old.  Students must be fully toilet trained.  This is a combined preschool and kindergarten classroom.
 
If your child will be attending our Primary 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.
Primary Program days
Primary Program duration
Primary Program morning extensions
Monday
Tuesday
Wednesday
Thursday
Friday
Primary Program afternoon extensions to 12:00 pm
Afternoon extension
Elementary After School Program: (Kindergarten to 5th Grade) Program runs until 5:20pm at the PEEK Program. 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
Infant & Toddler Summer Camp: (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.
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
Early Learning Summer Camp morning extensions
Monday
Tuesday
Wednesday
Thursday
Friday
Early Learning Summer Camp afternoon extensions to 12:00 pm
Afternoon extension
Elementary Summer Camp: (5 years to 12 years) (Kindergarten, as of January 1 - 5th Grade)
Program runs from 8:00am - 4:35pm. 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 4:45pm.
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

Parent or Legal Guardian Signature