Please use the fillable form below to submit your information for our waiting list.
If you are experiencing any issues viewing the fillable form on this page, please email the following information to [email protected].
- Parent’s Full Name
- Child’s Full Name
- Grade Child is Completing in 2022-2023 School Year
- Child’s Age
- Child’s Birth Date
- Parent’s Phone Number
- Full Time or Part Time? (Part Time = 3 Days or Less)
- If Part Time, which days of the week do you need care?
- School Child Currently Attends
- Preferred Summer Day Camp Location: AL Lotts Elementary (West Knoxville), Ball Camp Elementary (West Knoxville), Beaumont Elementary (Downtown Knoxville), Cedar Bluff (only choose this option if you are planning to participate in Knox County Schools Summer Learning Program at Cedar Bluff; 4 week program), Halls Elementary (North Knoxville), West Town Christian Center (West Knoxville)
- Additional Children’s first and last names, ages, birth dates, and grade completed in the 2022-2023 school year