Experience Kindergarten Reg. 2025

1

We have two sessions available on January the 22nd and 29th, please select one.* This field is required.NOTE: If an option is colored grey, it means the session is full.

2

What is your child's name who will be attending?* This field is required.

First Name

Last Name

3

What is your child's birth date?* This field is required.

4

What is your child's gender?* This field is required.

Male

Female

5

Does your child have allergies?* This field is required.

YESNO

6

Please list all allergies below.

7

Do you have any additional information about your child that you would like to share with us?* This field is required.

YESNO

8

Please list information below.

9

Do you currently have children enrolled at Gaglardi Academy?* This field is required.

YESNO

10

Do you currently have children enrolled at Little Sprouts Preschool?* This field is required.

YESNO

11

Does your family regularly attend church?* This field is required.

YESNO

12

Parent/Guardian Name* This field is required.

First Name

Last Name

13

Phone Number* This field is required.

Area Code

Phone Number

14

Email* This field is required.

example@example.com