PROGRAM REGISTRATION

This page is to begin enrollment process for Champion House of Care Programs.
To register for CHOC Events click HERE.

Choose All That Apply *

CHOC ENRICHMENT (7:30AM- 3:00PM CAMP CHAMPION (7:30-3:00 JUNE 13AUG 31) AFTER SCHOOL (2:30PM- 6:00PM EXTENDED DAY (7:30AM --3:00PM-CLOSE SPECIAL SESSION (SPRING/WINTER BREAK)

Begin your registration here

* Indicates required field

PARTICIPANT NAME *

First

Last

Date of Birth *

PARTICIPANT ADDRESS *

Line 1

Line 2

City

State

Zip Code

Country

PARENT OR GUARDIAN *

First

Last

Phone Number *

Email *

Submit

PROGRAM REGISTRATION

Begin your registration here

Once your form has been submitted our office will, contact you to set up an appointment to complete enrollment.

Hours

Telephone

Email