AGC Information Request

Parent's Name (required)

Parent's Phone Number (required)

Email Address (required)

Programs Interested In
Preschool Program (2.5 yrs +)Pre-Kindergarten ProgramElementary School

Number of Days Needed (Pre-K / Preschool)
2 Days a Week3 Days a Week5 Days a Week

Elementary Grade Enrollment
Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade

How did you hear about All God's Children?

Child's Name

Child's Birthday

Additional Child's Name

Additional Child's Birthday

Additional Comments/Information