Indie Group Enrichment Program: Pre-Registration
Welcome to Indie! Please fill out the items below to the best of your ability and select desired session preferences. If your desired session is available for your child's age range you will be invoiced fee of ($75) to the email provided to secure your child's spot for your desired enrollment date. This fee is non-refundable. Additional enrollment forms will be sent via email closer to your child's start date. Questions can be emailed to admin@indielearningco.com
NOTE: Please select the center that you are pre-registering for
This site will tentatively serve children up to age 12. Children aged 13 and 14 may be considered if the program is deemed developmentally suitable!
Contact Information
Parent/Caregiver Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Child's Information
Name
*
First Name
Last Name
Birth Date
*
-
Month
-
Day
Year
Date
Session Preferences
Center Preference:
Indie Early Learning Lab (16mos - PreK 5)
Indie Innovation Center (Kinder 5 - 12 years)
Choose your preferred session
*
AM: 8:00am - 11:30am
PM: 12:00pm - 3:30pm
Full Day: 8:00am - 3:30pm
Choose your preferred weekly schedule (these schedules are fixed, and cannot be interchanged)
*
5 days (M-F) (Starting at $485/week)
3 days (M, W, F) - Limited Availability (Starting at $315/week)
2 days (T, Th) - Limited Availability (Starting at $240/week)
Billing Preference
*
ESA Classwallet submission (Billed quarterly)
ESA Debit Card (Billed Monthly)
Private Pay (Billed Monthly)
Anticipated enrollment date
*
Month you plan on your child attending the program. Anticipated full day launch is October 2024.
Recommended by a friend? Enter their name!
Do you have a promo code? If so, enter here!
Acknowledgements
I acknowledge that additional enrollment forms must be completed prior to my child's start date.
*
I agree
Is your family enrolled in the ESA program?
Yes
No
Awaiting approval
No, but I'd like to learn more!
Tell us anything you'd like us to know about your child and why you're choosing Indie to support them in their development!
Submit
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