KLA Application

Application

Please fill out one form per student as honestly as possible. These forms allow us to know how to best support your child and family.
Child's Name*

First NameLast Name
Child's birthday*
Class Selection (Classes are subject to change based on enrollment)*

Sprouts: Preschool-KindergartenSeedlings: 1st-2nd GradesSaplings: 3rd-4th GradesAlders: 5th-6th GradesEvergreens 7th-8th Grades
Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
How did you hear about KLA?*

Program
Tell us about the programs your child has attended in the past.*
What are you looking for in a learning space? What would your child thrive in or struggle with in a space of learning?*
What are your child's feelings about being outside in nature?*
What other activities does your child participate in? (Ex. Sports, art, tutoring, etc.)*

Social/Emotional
Tell us a bit about your child. What are your favorite things about them?*
What does play look like at home? *
Tell us about your child's ability to communicate their needs and feelings?*
What does emotional overwhelm look like? Does your child cry, get physical or go into flight/fight?*

Academic
What are your child’s favorite subjects, interests, something that brings them joy?*
What are some areas of avoidance, disinterest or frustration academically? *
Does your child have an IEP/diagnosis or is suspected of being neurodivergent or having learning difference (Ex. Autism, ADHD, Dyslexia, Depression, Anxiety, Sensory Processing)?*
If yes to previous questions, what are the ways you provide support? Does your child receive support from a specialist? *
In what ways do you imagine KLA will provide support?*

Home School
KLA is a home school enrichment program. How will you be providing foundational learning at home?*
What support from KLA are you hoping for in the coming year, for you and your child?*
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Application