The PEEK Program Application

Physical Address: 10 Pinebrook Road, Park City, Utah 84098
Mailing Address: 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 thepeekprogram.com for schedules, tuition, and fees
Early Learning 2s & 3s Program: (2 to 3 years) 
Program Options:
Full Day (8:00am - 5:20pm)
Extended Day (8:00am - 2:35pm)
Morning (8:00am - 11:35am)
Afternoon (1:00pm - 5:20pm)
 
If your child will be attending our Early Learning 2s & 3s 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 for half day students and at 5:30pm for full day, afternoon and afterschool students.
Early Learning 2s & 3s Program days
Early Learning 2s & 3s Program duration
Early Learning 2s & 3s Program morning extensions
Monday
Tuesday
Wednesday
Thursday
Friday
Early Learning 2s & 3s 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. 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 days
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 website thepeekprogram.com for schedules, tuition, and fees
Early Learning 2s & 3s Summer Camp: (2 to 3 years)
Program Options:
Full Day (8:00am – 5:20pm)
Morning (8:00am – 11:35am)
Afternoon (1:00pm – 5:20pm)
 
If your child will be attending our Early Learning 2s & 3s 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 for half day students and at 5:30pm for full day, afternoon and afterschool students.
Early Learning 2s & 3s Summer Camp days
Early Learning 2s & 3s Summer Camp duration
Early Learning 2s & 3s Summer Camp morning extensions
Monday
Tuesday
Wednesday
Thursday
Friday
Early Learning 2s & 3s Summer Camp afternoon extensions to 12:00 pm
Afternoon extension
Preschool/Pre-K Summer Camp: (3.5 years to 5 years)
Program Options:
Full Day (8:00am - 5:20pm)
Morning (8:00am - 11:35am)
Afternoon (1:00pm - 5:20pm)
 
If your child will be attending our Preschool/Pre-K 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 for half day students and at 5:30pm for full day, afternoon and afterschool students.
Preschool/Pre-K Summer Camp days
Preschool/Pre-K Summer Camp duration
Preschool/Pre-K Summer Camp morning extensions
Monday
Tuesday
Wednesday
Thursday
Friday
Preschool/Pre-K 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 – 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 The Peek Program beyond this coming year? If yes, how long?
Whom to thank: If you were referred to The Peek Program, 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