Please know that this form holds your spot for the 2019-2020 school year. Payment is due when filling out this form and it is non-refundable. I will be contacting you to get more information before school starts. Also, please note that I will not be taking requests for teachers or particular classrooms.Email* Child's Name* First Last Gender of Child*BoyGirlChild's Birthday* MM DD YYYY Parent's First and Last Names*Parent's Phone Number (including area code)*Address (including city and zip)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code I understand that my child must be 4 on or before September 1, 2019, to attend Kinder Connections 2.*Yes, I understand!I understand that my registration cost of $75 is due now and it is non-refundable.*I agree.EmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.