Kinder Kickstart 2024-2025 Information Request Form

1

Child's Name* This field is required.

First Name

Last Name

2

Parent's Name* This field is required.

First Name

Last Name

3

E-mail* This field is required.

example@example.com

4

Phone Number* This field is required.

5

Schedule* This field is required.

2-Days (Tuesday & Thursday)

3-Days (Tuesday, Thursday & Friday)

4-Days (Monday, Tuesday, Thursday & Friday)

Other

6

Additional Comments* This field is required.