Jain Inquiry Form 🌿✨

Jain Inquiry Form 🌿✨

Please complete this form to help us understand your family's needs and how Jain can support your child's growth.
Parent / Family Information
Parent/Guardian Full Name*

First NameMiddle NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
EmailPhoneText
City of Residence*
Child Information
Child’s Full Name*

First NameMiddle NameLast Name
Child’s Date of Birth*

MonthDayYear
Date
Child’s Current Age*
At homePreschoolPublic schoolPrivate schoolHomeschoolOther
Program Interest
Preschool ProgramHybrid ProgramAtelier StudioLiteracy StudioSummer ProgramI’m not sure yet
Desired Start Date*

MonthDayYear
Date
Full-timePart-timeHalf dayFull dayEnrichment onlyExtended care neededNot sure yet
What grade is your child in?
ReadingSpellingWritingHandwritingDyslexia-friendly instruction
Please share any concerns related to reading, writing, or school.
What age is your child?
What draws you to the atelier experience?
What days or times work best for your family?
What type of schedule are you seeking?
YesNoNot sure yet
What are you looking for in a school environment?
About Your Child
Tell us a little about your child*
What are some of your child’s strengths, interests, and personality traits?
What are you hoping your child gains from this program?*
Are there any academic, behavioral, sensory, social-emotional, or developmental needs you would like us to be aware of?
Family Fit
What matters most to your family when choosing a school or program?*
What drew you to Jain?*
Yes, I’d like a tourYes, I’d like a callNot yet, I’d like more information first
Final Questions
GoogleInstagramFacebookFriend or familyCommunity groupChurchEventOther
YesNo
Anything else you would like us to know?
Should be Empty:

Jain Inquiry Form 🌿✨

Parent / Family Information

Child Information

Program Interest

About Your Child

Family Fit

Final Questions