Bob Burdette Center

Student Enrollment

Afterschool & Summer Program

Please answer the following questions so we can set up your enrollment form.

Your Email Address

We'll send you a link so you can return and finish this form later if needed.

Email Address *

Was this student previously enrolled in a Bob Burdette Center program? Yes No

Do you have your child's WVEIS number?

This is also known as the lunch number or 3901 number. You can find it on your child's report card.

Yes, I have it No, I don't have it

Enter WVEIS Number

WVEIS / Lunch Number / 3901 Number

Help Us Find Your Child

Please fill in at least two of the following fields.

Child's First Name

Child's Last Name

Child's Date of Birth

Parent Phone Number