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Kind @ Home Enrollment

To register, please take the time to fill out the information below.

First Name

Last Name

Email

Phone

Address

Child #1 Name

Child 1 Age

Child 2 Name

Child 2 Age

What would you like to see in this program?

What are 3 things your child is interested in?

I accept terms & conditions

I want to subscribe to the newsletter.

I understand my card will be charged each month on the 1st unless I cancel within 30 days.

Which program are you in?

Curriculum Only $40 per month

Curriculum + Kit $140 per month

Enter your Credit Card #

Expiration Date

3 or 4 digit code

Child 3 Name

Child 3 Age

I undertstand my Kit is by Pick up in Margate only or shipped upon request for an additional fee.

CONTACT US
hello@kindacademy.org

10649 Wiles Road , Coral Springs, FL 33076

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(754) 204-8310

Coral Springs, FL, United States

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