The PEEK Program Application

10 Pinebrook 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 and must be fully toilet trained.) If your child will be attending our Early Learning 2s & 3s Program, please select your day(s), the duration and any morning or afternoon extensions. Late fees apply 15 minutes after listed pick-up time.
Early Learning 2s & 3s Program days
Early Learning 2s & 3s Program duration
Monday Morning 
Extension
Tuesday Morning 
Extension
Wednesday Morning 
Extension
Thursday Morning 
Extension
Friday Morning 
Extension
Afternoon extension 12:00 pm
Preschool/Pre-K Program: (3.5 years to 5 years) If your child will be attending our Preschool/Pre-K Program, please select your day(s), the duration and any morning or afternoon extensions. Late fees apply 15 minutes after listed pick-up time.
Preschool/Pre-K Program days
Preschool/Pre-K 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 at Creekside Kids: 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. THIS PROGRAM IS HELD AT CREEKSIDE KIDS ACADEMY. Click here for the application.
 
Monday – Friday (8:00 am – 2:45 pm)
Monday – Friday (8:00 am – 5:30 pm)
Elementary Stay & Play Program: (Kindergarten to 5th Grade) If your child will be attending our Elementary Stay & Play Program, please select your day(s) and location. Must be currently attending elementary school. Late fees apply 15 minutes after listed pick-up time.
Elementary Stay & Play 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 and must be fully toilet trained.) If your child will be attending our Early Learning 2s & 3s Summer Camp, please select your day(s), the duration and any morning or afternoon extensions. Late fees apply 15 minutes after listed pick-up time.
Early Learning 2s & 3s Summer Camp days
Early Learning 2s & 3s 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
Preschool/Pre-K Summer Camp: (3.5 years to 5 years) If your child will be attending our Preschool/Pre-K Summer Camp, please select your day(s), the duration and any morning or afternoon extensions. Late fees apply 15 minutes after listed pick-up time.
Preschool/Pre-K Summer Camp days
Preschool/Pre-K 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 School Age Summer Camp: (5 years to 12 years) If your child will be attending our Elementary School Age Summer Camp, please select your day(s) and the duration. Must be currently attending elementary school. Late fees apply 15 minutes after listed pick-up time.
Elementary School Age Summer Camp days
Elementary School Age 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

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

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