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ENROLL NOW
LYRICAL PRE-K ACADEMY
AFTERSCHOOL
SMART TUTORING
SUMMER INSTITUTE
GRAB & GO LUNCHES
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What We offer
Music and Tutoring Afterschool
Music & Tutoring Afterschool
Application
Parent Workshops/Advisory Board
2022 April Easter Egg Hunt
Spring 2021 End-Of-Year Program
2019 End-Of-Year Luau
2018 Christmas Video & Pics
SMART Tutoring
Career Coaching Program
LYRICAL PRE-K ACADEMY
LYRICAL PRE-K APPLICATION
Clara H. Jones Summer Institute
CLARA H. JONES SUMMER INSTITUTE
APPLICATION
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What We Do
LYRICAL PRE-K APPLICATION
LYRICAL PRE-K ACADEMY APPLICATION -- NOW ACCEPTING CHILD CARE VOUCHERS
NAME
Enter Student's Full Name
First Name *
Middle
Last Name *
Gender
Female
Male
Birthdate
Address
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Ethnic Identity
Hispanic/Latino
Not Hispanic/Latino
Racial Identity
African American/Black
Asian
Biracial
Native American/Native Alaskan
Native Hawaiian/Other Pacific Islander
White
Parent1/Legal Guardian Information
Prefix
Mr.
Mrs.
Ms.
Prefix
First Name *
Last Name *
Suffix
Parent1/Legal Guardian Address
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Phone (cell phone preferred)
Cell Phone Provider
m1wrh70n91d2
Employer & Work Phone
Parent's Email
Child Lives With Parent1/Legal Guardian?
Yes
No
Parent2/Legal Guardian Name
Prefix
Mr.
Mrs.
Ms.
Prefix
First Name
Last Name
Parent2/Legal Guardian Address
Country
Address Line 1
Address Line 2
City
State/Province
Postal Code
Phone (cell phone preferred)
Cell Phone Provider
Employer & Work Phone
Parent2's Email
Child Lives With Parent2/Legal Guardian
Yes
No
Authorized Pick-Up
First Name
Last Name
Address
Country
Address Line 1
City
State/Province
Postal Code
Phone
Authorized Pick Up
First Name
Last Name
Address
Country
Address Line 1
City
State/Province
Postal Code
Phone
Authorized Pick Up
First Name
Last Name
Address
Country
Address Line 1
City
State/Province
Postal Code
Phone
Immunizations Record
Upload Copy of Immunization Record with PDF or JPG File
No file selected
Clear All Files
Click or drag here to add files
Chronic Illnesses/Current Medications/Unique Behaviors or Fears
Doctor's Name & Phone Number
BEFORE/AFTER SCHOOL
Before School 7:00am-8:30am
After School 4pm-6:00pm
Before & Afterschool
Not Needed
PAYMENT METHOD
Monthly Tuition -- $1,070
Sliding Scale Scholarship Requested (income verification required)
Child Care Voucher (Look for CSA Afterschool & Pre-K)
Immunization Records
I understand that my child's application is incomplete pending receipt of immunization records
Orientation Required
I understand I am required to attend orientation BEFORE my child can attend this program.
Image Authorization
I give permission for my child's photo or likeness to be used in media related to the program
Emergency Medical Authorization
I agree the agency may authorize a medical practitioner of its choice to provide emergency care if a timely response is needed or if I can not be contacted.
Parent/Guardian Electronic Signature
Enter Full Name
Date
What We offer
Music and Tutoring Afterschool
Music & Tutoring Afterschool
Application
Parent Workshops/Advisory Board
2022 April Easter Egg Hunt
Spring 2021 End-Of-Year Program
2019 End-Of-Year Luau
2018 Christmas Video & Pics
SMART Tutoring
Career Coaching Program
LYRICAL PRE-K ACADEMY
LYRICAL PRE-K APPLICATION
Clara H. Jones Summer Institute
CLARA H. JONES SUMMER INSTITUTE
APPLICATION
MENU
FINAL PROGRAM VIDEOS & PICS
Grab & Go Lunch
Results
Program Partners
Application
Application
Scholarship Verification
News & Events
Newsroom
Event Calendar
Join Our Mailing List
Important Links
Parent Workshops/Advisory Board
Who We Are
Values and Principles
Our History
Frequent Questions
Board
Staff
Financials
What We Do
What We offer
Music and Tutoring Afterschool
Music & Tutoring Afterschool
Application
Parent Workshops/Advisory Board
2022 April Easter Egg Hunt
Spring 2021 End-Of-Year Program
2019 End-Of-Year Luau
2018 Christmas Video & Pics
SMART Tutoring
Career Coaching Program
LYRICAL PRE-K ACADEMY
LYRICAL PRE-K APPLICATION
Clara H. Jones Summer Institute
CLARA H. JONES SUMMER INSTITUTE
APPLICATION
MENU
FINAL PROGRAM VIDEOS & PICS
Grab & Go Lunch
Results
Program Partners
How To Help
Payment/Donation
Volunteer
Get Connected
ENROLL NOW
LYRICAL PRE-K ACADEMY
AFTERSCHOOL
SMART TUTORING
SUMMER INSTITUTE
GRAB & GO LUNCHES
DONATION/PAYMENT