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Request Information/Tour

Thank you for your interest in Genesee Christian School and/or Little Leaders Day Care!

Please fill out the form below and our Admission's Team  will contact you and provide the information you desire.

* Indicates a required field.

Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
  • Confirm Email Address *
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • Home Phone *

  • Does your family attend church on a regular basis?
    * Yes   No

  • What church are you currently attending?
    *

  • How did you hear about us? (i.e. family/friends, website search, church referral, social media ad)
    *
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate *
    (mm/dd/yyyy)
    Gender
  • Grade Level of Interest *
    School Year *
  • Current School
  •  
  • Is There Another Student?
    Yes No
  •  
  • Parent / Guardian Notes
  •