KINDRED VILLAGE LEARNING COMMUNITY ENROLLMENT

KINDRED VILLAGE LEARNING COMMUNITY ENROLLMENT

By submitting this form, you will save your spot on our waitlist and begin the enrollment process. Thank you for your interest!
Parent/Guardian Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Please list your students names, ages and upcoming grade levels for 26/27
How did you hear about our program?
What are your goals or expectations for joining our enrichment program?

Will you be using Heartland funds to pay for tuition?
If you are a Heartland Family, please check the following boxes to show that you understand our policies regarding Heartland

I’d love for you to fill out this questionnaire for each of your children! https://docs.google.com/forms/d/e/1FAIpQLSexudmbf84WXvBuo9z_qBdprhMiqCLOzCVHm63lAEBM-SQhZA/viewform

Other
Please let me know if you have any questions or concerns about our program.
Should be Empty: