KIPP Detroit Imani Academy Enrollment Interest Form
Please complete this form to begin the enrollment process for KIPP Detroit Imani Academy. A member of our team will reach out to you to share additional registration information so your child is ready for the first day of school (or to confirm your place on the waitlist). 

If you have any questions about the enrollment process or your child's enrollment status, please reach out to us at info@kippdetroit.org or 313-474-2777. Thank you!
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Student First Name
Nombre del Estudiante
 *
Student Last Name
Apellido del Estudiante
 *
Student Gender
Género del Estudiante
 *
Student Date of Birth
Fecha de Nacimiento
*
MM
/
DD
/
YYYY
Current School (if applicable)
Escuela Actual (si es aplicable)
Select the grade you wish to enroll in:
Selecciona que grado:
 *
Guardian 1 First Name
Nombre del Padre/Madre
 *
Guardian 1 Last Name
Apellidó del Padre/Madre
 *
Guardian 1 Cell Phone Number
Número de Teléfono Movil del Madre/Padre 
 *
Guardian 1 Home Phone Number
Número de Teléfono de Casa del Madre/Padre 
Guardian 1 Email
Correo Electrónico del Madre/Padre
 *
Guardian 1 Relationship to Student
Relación con el estudiante
 *
How did you hear about us? *
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