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Enrollment

Parent's Name: *

First

Last

Email: *

Phone: *

Are you applying your child for Kindergarten or 1st Grade? *

Kindergarten
1st Grade

Child's Name: *

First

Middle

Last

Name your child goes by: *

Gender: *

Birthday: *

month/day/year

Has your child had any previous schooling such as preschool or kingdergarten? *

Reading skills: *

Writing Skills: *

Health Issues: *

Allergies: *

If yes, do they have an EpiPen?

Is your child potty trained:

Yes
No

Where is your child at developmentally (such as special needs)? *

Does your child have any speech or language problems? *

Location

4525 Stauffer Ave SE,
Grand Rapids, MI 49508

Our hours

Information coming soon.

Contact us

Email: [email protected]

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