Contact Us Form

If you are interested in enrolling your child at the Child Enrichment Center, fill out the form below and CEC staff will get in touch with more information.

* denotes a required field

Parent or Guardian

Parent or Guardian's First Name *

Parent or Guardian's Last Name *

Parent or Guardian's Email *

Parent or Guardian Phone *

Are you affiliated with GVSU?

Child

Child's Name *

Child's Birthdate *
Month: Day: Year:

Enrollment Information

Date You'd Like Care to Begin
Month: Day: Year:

Any Additional Comments?

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Children's Enrichment Center

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