Kindergarten Registration Interest Form

Please complete the Kindergarten Interest Form below. A member of our team will review it and be in touch with you shortly. If you have more than two children to enroll in the program, please complete the form more than once.

If you have an immediate need, please contact our office at 480.813.2796

You can also download a Kindergarten Registration Interest Form and delivery a copy to our office.

Completion of the Interest form does not guarantee enrollment.

STUDENT INFORMATION

Child's Full Name

Child's Date of Birth

YYYY

Gender

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are there any specific ways we can help your child developmentally?

Medical Conditions/Health Related Needs

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email Address

Parent/Guardian Employer

Parent/Guardian Phone

(###)

###

####

Parent/Guardian Name 2

Parent/Guardian Email Address 2

Parent/Guardian Employer 2

Parent/Guardian Phone 2

(###)

###

####

KINDERGARTEN PROGRAM

Our Kindergarten Program runs 8:30am - 2:00pm Monday - Friday.
We have a small class size. ONLY 16!

Students must be 5 by Sept 30. If younger must be approved by the Director.

Schedule (Check all that apply)

Kindergarten Class ONLY

Kindergarten PLUS Extended Learning Hours

I need AM Learning Hours

I need PM Learning Hours

Kindergarten Registration Interest Form

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