Request Information Partnering with Families to Build Strong Mind, Body and Christian Character

608-535-8265 Open: 7:00am - 5:45pm | Monday to Friday

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Personal and Contact Information
Parent First Name:
Parent Last Name:
Phone Number:
Best Time To Reach You By Phone:
Parent Email:*
Number of Children:
Child One
Child Information
Select Child Date of Birth:*
Choose Desired Start Date:*
What Grade Will Your Child Be Entering in the Fall?*
Child Two
Child Information
Select Child Date of Birth:*
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What Grade Will Your Child Be Entering in the Fall?*
Child Three
Child Information
Select Child Date of Birth:*
Choose Desired Start Date:*
What Grade Will Your Child Be Entering in the Fall?*
Child Four
Child Information
Select Child Date of Birth:*
Choose Desired Start Date:*
What Grade Will Your Child Be Entering in the Fall?*
Child Five
Child Information
Select Child Date of Birth:*
Choose Desired Start Date:*
What Grade Will Your Child Be Entering in the Fall?*
Additional Information
How Did You Hear About Kids Junction?
How Did You Hear About Kids Junction? - Other:
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What Parents Are Saying About Us

The staff treats every child like their own; it is truly a family.

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