Please Fill Out the Form to Register Your Child

Please enter YOUR information below

First Name *

Last Name *

Email *

Phone *

Address *

City *

State *

Postal code *

Country

(Compliance) Text Checkbox *

By checking this box I agree to receive email and SMS text communications and promotions from Intelligent Minds Early Childhood Academy & Kindergarten Prep LLC approximately 4 messages a month. SMS text and data rates may apply. I may opt out at any time by replying STOP. View Terms and Conditions at the bottom of this page.

Child's Full Name *

Child's Date of Birth *

Child 1 Allergies

Authorized Adult 1 Full Name

Authorized Adult 3 Phone

2nd Child's Full Name

Date of birth

Child 2 Allergies

Full Names and D.O.B of Additional Children

Contact Us: imeclearningacademy@gmail.com