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?

Saturday, April 4th, 3:00-4:30 at Rancho Grande Park, Arroyo Grande.Saturday, April 18th, 10:00-11:30 at Elm Street Park, Arroyo GrandeSunday, April 26th, 3:00-4:30 at Chumash Park, Pismo BeachTuesday, April 28th, 4:30-6:00 at 16th ST Park, Grover BeachI cannot attend any of these or am uncertain, but I will email you to arrange a meeting.
Yes! I have either already completed this, or I have it saved to complete as soon as I turn this in. I understand that it needs to be completed before the end of April.Other
Please let me know if you have any questions or concerns about our program.
Should be Empty: