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Family Support

Childcare Application

We're glad you're here! 

Thank you for your interest in our Afterschool and/or Summer Childcare Program! If you have any questions about the following application packet, please contact us at 605-371-8770 or by email at Learning@LssSD.org.

Which program(s) are you interested in?

Child One

First Name *
Last Name *

Child Two

First Name
Last Name

Legal Guardian Information

First Name *
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *

Authorized Child Pick-up & Emergency Contacts

Please provide contact information for at least one person other than parent(s) to serve as authorized pick-up and/or emergency contact.

Permissions
Permissions
Permissions

Health Information

Country
Address Line 1 *
City *
State/Province *
Postal Code *

Registration Fee ($15)

Payment Option

If Pay Later is selected, your registration fee will be withdrawn from your account when you submit an automatic payment authorization form and a voided check. 

No file selected
Credit Card Information
Your total payment will be
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged

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  • Lives Transformed

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  • Staff Who Make a Difference

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  • LSS of South Dakota

    Good moments become defining moments when families are
    healthy, safe, and accepted.

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