Summer & Afterschool Program Application

Want to apply for our summer or afterschool program? Fill in the applicant information below. Once you've finished, press submit and complete the online application.


For a hardcopy, download the application below and email it to

Check out our After School and Summer Program Flyers!

Contact Us:

Office: 515.243.7817        Fax: 515.243.6316        Email:

©2018 by Willkie House Inc. Proudly created with