Kindred Learning Lab Registration 2026-2027

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Fall Cohort 1: 8/10/26–10/1/26

Fall Cohort 2: 10/5/26—11/26/26

Winter Cohort 3: 11/30/26-1/21/27

Email *

Primary Parent Full Name, Number, and Email address *

Child Name, Age, & Grade (for more than one child list for each in space below) *

Secondary Parent or Emergency Contact if we cannot reach Primary Parent. Please add a name and number for any Caregivers authorized for pick up. *

Does your child(ren) have any psychological diagnoses? If yes, please list. *

Please select the cohort and days your child will attend. For multiple children select all that apply. *

Littles (Ages 3-6) T & Th 9-12

Older (Ages 7+) M & W 10am-1pm

Required

Does your child(ren) have any allergies (food or otherwise)? Is there anything else you would like us to know? *

I understand that I will have to pay a non-refundable $75 registration fee per cohort per child. *

Yes

Required

I have reviewed and signed the play space waiver.

Link to waiver:

Yes

Photography and Video Release: I grant permission to take photographs and videos of my child while in the play space. *

Yes, for email and text messages.

Yes, for promotional purposes, including social media platforms, newsletters, and website content.

No, do not take or post photos of my child.

Which of the following best describes your child's learning style?

Visual learner

Auditory learner

Kinesthetic (hands-on) learner

Social/Collaborative learner

Independent learner

On a scale of 1-5, how would you rate your child's comfort level with group-based activities?

Prefers working alone

Enjoys group participation

Clear selection

How did you hear about Kindred Learning Lab?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report