5th Quarter – How to Apply

5th Quarter Summer Learning Program – APPLICATION PROCESS


5th Quarter application will NOT be accepted until ALL of the below items are submitted.

  1. Print and Fill out the Application Form, click HERE
  2. Pay $75 Fee per child
    • Pay Online HERE -or- Pay in Person -or- Pay by Mail
    • CCDF Child Care Vouchers accepted – $10 registration fee is due with application
  3. Submit the following for each child:
    • Application Form – Completed, click HERE
    • Immunization Record – current year
    • Physical Exam form from physician
    • Individualized Education Plan (IEP), if applicable
    • Payment, if not paid online

For a PDF version of the Application, click HERE.

Important 5th Quarter Information may be found HERE

  • Includes important information for students & parents
    — dates, open house, fees, forms & more

Who’s eligible for 5th Quarter:

  • Elementary aged children – starting Kindergarten through completed 6th grade
  • Limited to 70 children

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Contact information:

Amanda Bajzatt, 5th Quarter Summer Learning Program director (abajzatt@lumserve.org | 765-423-2691)