This form must be completed in its entirety even if your child has attended Jefferson in the past. Please print or save the confirmation page, which you will need to officially register and pay for your child to attend Kids Club.
Filling this form out does NOT hold a spot for your child in our program! Your child's spot is not guaranteed until registration and payment are made. This is step one in the process. Be sure to arrange bussing with the Ken-Ton Transportation Department ASAP.