You can always press Enter⏎ to continue
2026 ESM Kindergarten Info & Enroll Meeting Registration
Thanks for your interest in Emmanuel St. Michael. Please provide the following information and we look forward to meeting you soon!
16
Questions
START
1
Parent / Guardian #1 - Name
*
This field is required.
Complete the following information for parent or guardian contact info.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Parent / Guardian #1 - Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Parent / Guardian #1 - Phone Number
*
This field is required.
Previous
Next
Submit
Press
Enter
4
Parent / Guardian #2 - Name
Optional - provide contact information for an additional parent/guardian.
First Name
Last Name
Previous
Next
Submit
Press
Enter
5
Parent / Guardian #2 - Email
example@example.com
Previous
Next
Submit
Press
Enter
6
Parent / Guardian # 2 - Phone Number
Previous
Next
Submit
Press
Enter
7
Family Primary Address
Address
Address line 2
City/Town
State/Region/Province
Zip/Post Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Previous
Next
Submit
Press
Enter
8
Family Home Church
Please Select
Emmanuel Lutheran Church
St. Michael Lutheran Church
Aboite Lutheran Church
Christ Church
City Church
Coventry Baptist
Dunfee Missionary Church
Elevate City Church
Emmanuel Community
Faith United Methodist
Fellowship Missionary
First Assembly of God
Grace Gathering
Harvest Fellowship
Headwaters Church
Jacob's Well Lutheran
Life Community Church
Lifebridge
Mt. Zion UB
New Covenant Worship Center
Oakridge Temple
Pathway Community
Pine Hills City Church
Promise Lutheran
Shepherd of the City
Sonrise Church
Southwinds Church
St. Joe at the Y - UMC
St. Matthew's ELC
Summit Church
The Chapel
The Pointe
Trier Ridge Community
Trinity English Lutheran Church
Turner Chapel
Waynedale Baptist Church
Other
None
Please Select
Please Select
Emmanuel Lutheran Church
St. Michael Lutheran Church
Aboite Lutheran Church
Christ Church
City Church
Coventry Baptist
Dunfee Missionary Church
Elevate City Church
Emmanuel Community
Faith United Methodist
Fellowship Missionary
First Assembly of God
Grace Gathering
Harvest Fellowship
Headwaters Church
Jacob's Well Lutheran
Life Community Church
Lifebridge
Mt. Zion UB
New Covenant Worship Center
Oakridge Temple
Pathway Community
Pine Hills City Church
Promise Lutheran
Shepherd of the City
Sonrise Church
Southwinds Church
St. Joe at the Y - UMC
St. Matthew's ELC
Summit Church
The Chapel
The Pointe
Trier Ridge Community
Trinity English Lutheran Church
Turner Chapel
Waynedale Baptist Church
Other
None
Previous
Next
Submit
Press
Enter
9
Other Church
Previous
Next
Submit
Press
Enter
10
Meeting you plan to attend:
*
This field is required.
January 22, 2026 - 6:30pm @ 2131 Getz Road
February 17, 2026 - 6:30pm @ 2131 Getz Road
Previous
Next
Submit
Press
Enter
11
Bring your future kindergartener for a fun activity with teachers. Childcare will be available for siblings. If attending, please let us know if you will need childcare.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
12
How many children will require childcare?
Please list names and ages below
Previous
Next
Submit
Press
Enter
13
Comments:
Previous
Next
Submit
Press
Enter
14
Student #1 - Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
15
Student #1 - Birthdate
*
This field is required.
-
Date
Month
Day
Year
Previous
Next
Submit
Press
Enter
16
Student #1 - Gender
*
This field is required.
Male
Female
Previous
Next
Submit
Press
Enter
17
Student #1 - Current School
*
This field is required.
Please Select
ESM Preschool - Getz
ESM Preschool - Union
Aldersgate Academy
Anthony Wayne Preschool
Ascension Lutheran School
Avalon Preschool
Bright Horizons Preschool
Bunche Montessori
Canterbury
Carepointe Academy
Central Lutheran School
Chapel
Concordia Lutheran School
Crosspointe Academy
Emmaus Lutheran School
Holy Cross Lutheran School
Homeschool
Kiddie Academy
KinderCare Academy
Oak Farm Montessori
Peace Lutheran Preschool
Sonrise Christian Preschool
Southwest Montessori
St. Paul's Lutheran School
St. Peter's Lutheran School
Suburban Bethlehem Lutheran School
Taylor Chapel Academy
Teaching Tree Preschool
Whitney Young Early Childhood Center
None
Other
Please Select
Please Select
ESM Preschool - Getz
ESM Preschool - Union
Aldersgate Academy
Anthony Wayne Preschool
Ascension Lutheran School
Avalon Preschool
Bright Horizons Preschool
Bunche Montessori
Canterbury
Carepointe Academy
Central Lutheran School
Chapel
Concordia Lutheran School
Crosspointe Academy
Emmaus Lutheran School
Holy Cross Lutheran School
Homeschool
Kiddie Academy
KinderCare Academy
Oak Farm Montessori
Peace Lutheran Preschool
Sonrise Christian Preschool
Southwest Montessori
St. Paul's Lutheran School
St. Peter's Lutheran School
Suburban Bethlehem Lutheran School
Taylor Chapel Academy
Teaching Tree Preschool
Whitney Young Early Childhood Center
None
Other
Previous
Next
Submit
Press
Enter
18
Student #1 - Other School
Previous
Next
Submit
Press
Enter
19
Do you have another student to inquire about?
YES
NO
Previous
Next
Submit
Press
Enter
20
Student #2 - Name
First Name
Last Name
Previous
Next
Submit
Press
Enter
21
Student #2 - Birthdate
-
Date
Month
Day
Year
Previous
Next
Submit
Press
Enter
22
Student #2 - Gender
Male
Female
Previous
Next
Submit
Press
Enter
23
Student #2 - Current School
Please Select
ESM Preschool - Getz
ESM Preschool - Union
Aldersgate Academy
Anthony Wayne Preschool
Ascension Lutheran School
Avalon Preschool
Bright Horizons Preschool
Bunche Montessori
Canterbury
Carepointe Academy
Central Lutheran School
Chapel
Concordia Lutheran School
Crosspointe Academy
Emmaus Lutheran School
Holy Cross Lutheran School
Homeschool
Kiddie Academy
KinderCare Academy
Oak Farm Montessori
Peace Lutheran Preschool
Sonrise Christian Preschool
Southwest Montessori
St. Paul's Lutheran School
St. Peter's Lutheran School
Suburban Bethlehem Lutheran School
Taylor Chapel Academy
Teaching Tree Preschool
Whitney Young Early Childhood Center
None
Other
Please Select
Please Select
ESM Preschool - Getz
ESM Preschool - Union
Aldersgate Academy
Anthony Wayne Preschool
Ascension Lutheran School
Avalon Preschool
Bright Horizons Preschool
Bunche Montessori
Canterbury
Carepointe Academy
Central Lutheran School
Chapel
Concordia Lutheran School
Crosspointe Academy
Emmaus Lutheran School
Holy Cross Lutheran School
Homeschool
Kiddie Academy
KinderCare Academy
Oak Farm Montessori
Peace Lutheran Preschool
Sonrise Christian Preschool
Southwest Montessori
St. Paul's Lutheran School
St. Peter's Lutheran School
Suburban Bethlehem Lutheran School
Taylor Chapel Academy
Teaching Tree Preschool
Whitney Young Early Childhood Center
None
Other
Previous
Next
Submit
Press
Enter
24
Student #2 - Other School
Previous
Next
Submit
Press
Enter
25
Do you have another student to inquire about?
YES
NO
Previous
Next
Submit
Press
Enter
26
Student #3 - Name
First Name
Last Name
Previous
Next
Submit
Press
Enter
27
Student #3 - Birthdate
-
Date
Month
Day
Year
Previous
Next
Submit
Press
Enter
28
Student #3 - Gender
Male
Female
Previous
Next
Submit
Press
Enter
29
Student #3 - Current School
Please Select
ESM Preschool - Getz
ESM Preschool - Union
Aldersgate Academy
Anthony Wayne Preschool
Ascension Lutheran School
Avalon Preschool
Bright Horizons Preschool
Bunche Montessori
Canterbury
Carepointe Academy
Central Lutheran School
Chapel
Concordia Lutheran School
Crosspointe Academy
Emmaus Lutheran School
Holy Cross Lutheran School
Homeschool
Kiddie Academy
KinderCare Academy
Oak Farm Montessori
Peace Lutheran Preschool
Sonrise Christian Preschool
Southwest Montessori
St. Paul's Lutheran School
St. Peter's Lutheran School
Suburban Bethlehem Lutheran School
Taylor Chapel Academy
Teaching Tree Preschool
Whitney Young Early Childhood Center
None
Other
Please Select
Please Select
ESM Preschool - Getz
ESM Preschool - Union
Aldersgate Academy
Anthony Wayne Preschool
Ascension Lutheran School
Avalon Preschool
Bright Horizons Preschool
Bunche Montessori
Canterbury
Carepointe Academy
Central Lutheran School
Chapel
Concordia Lutheran School
Crosspointe Academy
Emmaus Lutheran School
Holy Cross Lutheran School
Homeschool
Kiddie Academy
KinderCare Academy
Oak Farm Montessori
Peace Lutheran Preschool
Sonrise Christian Preschool
Southwest Montessori
St. Paul's Lutheran School
St. Peter's Lutheran School
Suburban Bethlehem Lutheran School
Taylor Chapel Academy
Teaching Tree Preschool
Whitney Young Early Childhood Center
None
Other
Previous
Next
Submit
Press
Enter
30
Student #3 - Other School
Previous
Next
Submit
Press
Enter
31
OLD - Don't Use
If applicable
ESM Preschool - Getz
ESM Preschool - Union
Aldersgate Academy
Anthony Wayne Preschool
Ascension Lutheran School
Avalon Preschool
Bright Horizons Preschool
Bunche Montessori
Canterbury
Carepointe Academy
Central Lutheran School
Chapel
Concordia Lutheran School
Crosspointe Academy
Emmaus Lutheran School
Holy Cross Lutheran School
Homeschool
Kiddie Academy
KinderCare Academy
Oak Farm Montessori
Peace Lutheran Preschool
Sonrise Christian Preschool
Southwest Montessori
St. Paul's Lutheran School
St. Peter's Lutheran School
Suburban Bethlehem Lutheran School
Taylor Chapel Academy
Teaching Tree Preschool
Whitney Young Early Childhood Center
None
Other
Previous
Next
Submit
Press
Enter
32
OLD - Don't Use
Previous
Next
Submit
Press
Enter
33
OLD - Don't Use
If applicable
ESM Preschool - Getz
ESM Preschool - Union
Aldersgate Academy
Anthony Wayne Preschool
Ascension Lutheran School
Avalon Preschool
Bright Horizons Preschool
Bunche Montessori
Canterbury
Carepointe Academy
Central Lutheran School
Chapel
Concordia Lutheran School
Crosspointe Academy
Emmaus Lutheran School
Holy Cross Lutheran School
Homeschool
Kiddie Academy
KinderCare Academy
Oak Farm Montessori
Peace Lutheran Preschool
Sonrise Christian Preschool
Southwest Montessori
St. Paul's Lutheran School
St. Peter's Lutheran School
Suburban Bethlehem Lutheran School
Taylor Chapel Academy
Teaching Tree Preschool
Whitney Young Early Childhood Center
None
Previous
Next
Submit
Press
Enter
34
OLD - Don't Use
If applicable
ESM Preschool - Getz
ESM Preschool - Union
Aldersgate Academy
Anthony Wayne Preschool
Ascension Lutheran School
Avalon Preschool
Bright Horizons Preschool
Bunche Montessori
Canterbury
Carepointe Academy
Central Lutheran School
Chapel
Concordia Lutheran School
Crosspointe Academy
Emmaus Lutheran School
Holy Cross Lutheran School
Homeschool
Kiddie Academy
KinderCare Academy
Oak Farm Montessori
Peace Lutheran Preschool
Sonrise Christian Preschool
Southwest Montessori
St. Paul's Lutheran School
St. Peter's Lutheran School
Suburban Bethlehem Lutheran School
Taylor Chapel Academy
Teaching Tree Preschool
Whitney Young Early Childhood Center
None
Other
Previous
Next
Submit
Press
Enter
35
Enrollment_Year__c
Previous
Next
Submit
Press
Enter
36
Close Date
-
Date
Month
Day
Year
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
36
See All
Go Back
Submit