Registration Form

---

Please print and complete this form, and return it to our Main Office located at 

1175 W. Territorial Rd., Battle Creek, MI 49015. 

If you would like to submit this form via email, please send it to the email listed on the top of the form with subject line: NEW ENROLLMENT REGISTRATION FORM

Start enrollment for our FREE 4-year-old program visit: www.helpmegrowcalhoun.org