St. Charles Elementary Child Safety & Family Protection Plan
Enrollment Form
Email *
St. Charles Elementary School
801 W. Walnut St. 
St. Charles, MI 48655 (989)865-9210
Child Safety & Family Protection Plan Enrollment
St. Charles Elementary School is proud to offer its families access to the Premium Child Safety & Family Protection Plan along with access to additional supplemental benefits to protect the entire family.
Your First & Last Name: *
Phone Number *
Email Address *
Full Address (Street, City, State, Zip) *
Number of Children Under the Age of 18 *
What is the best time to reach you? *
Required
What comes next? 
Thank you for completing your request form. We will contact you shortly to set a time to meet with you to setup your program enrollment and delivery of your Child Safe Kit, Digital Kit Application, and Family Protection Plan Options. This meeting will be done via Zoom.

A copy of your responses will be emailed to .
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