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Smith Licensed Programs

Location

Samantha Smith Elementary
23305 NE 14th St.
Sammamish, WA 98074

206.478.6615

Hours of Operation

3-6:30 p.m. (Wednesdays 1:30-6:30 p.m.)

Non-school days and school breaks
7 a.m.-6:30 p.m.

Contact Information

Emily Mathiesen - Director of Licensed Programs, 425.250.4789 

Grades Served

Kindergarten-5th

Summer Camp 2017

Our Summer Camp will be run at Emily Dickinson Elementary from June 26 through August 25. 

We're excited to have our Pathfinders and Trailblazers return for more adventure! See our calendars below for information on themes and field trips:

Pathfinders: K-2nd

Trailblazers: 3rd-6th

Register for a Club membership here first.

If you are already a Club member, click here for summer camp registration!

 

Required Forms

Download the forms below and return to the child care site. Please note that state licensing requires all information to be filled out in full before your child may attend the program.

Registration Form

Immunization Record

Emergency Red Card Form

Authorization for Automatic Withdrawal

Upon enrollment all families familiarize themselves with the family handbook and turn in acknowledgement form at time of registration.

Family Handbook

Family Handbook Acknowledgement

Additional Forms if Applicable

If your child has asthma, allergies requiring an EPI Pen or needs to take medication on site. These documents need to be filled out before your child's start date. Please review our Family Handbook for complete information on our Medication Policy.

Medication Authorization Form

Allergy Packet

Individual Plan of Care

Asthma Plan

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