Jack & Jill VPK Program Registration 2024-2025 Parent/GuardianName* First Name Last Name Student InformationName* First Name Last Name Date of Birth* MM slash DD slash YYYY My child will be returning for the 2024-2025 VPK Program.* Yes No If you answered yes, please select type of care: VPK Only (M-F 9:00 a.m.-12:00 p.m.) VPK w/ Wrap-Around Care If you answered no, please give estimated last day of attendance: MM slash DD slash YYYY Full Name of Parent/Guardian Submitting Form:*Date* MM slash DD slash YYYY Thank you for completing the re-enrollment form. We are thrilled to welcome you and your family back to Jack & Jill. Once your form is processed, our enrollment specialist Jazmin Walker will contact you to complete re-enrollment.PhoneThis field is for validation purposes and should be left unchanged.