AZ KinderGap
Interest Application 25-26
Child's Information
Child's Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Does your child turn 5 between September 1 and December 31, 225
Yes
NO
Is your child currently enrolled in a public, charter, or private school for the 2025-2026 school year?
Yes
No
Patents/Guardian Information
Name
*
First Name
Last Name
Mobile Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship
Mother, Father, etc
Additional Details
Does your child have access to a tablet or iPad at home for learning?
Yes
No
Saturday Club Interest
Please select your child’s top three Saturday Club Interest
Art
Basketball
Cheer/Dance
Football
Swim
Music/Instruments
Submit
Should be Empty: