Creative Learning Lab Application

Parents and guardians, thank you so much for your interest in the Garner Holt Education through Imagination Creative Learning Lab. Please fill out one application for each child you would like to enroll in the Creative Learning Lab. Once your application is received, you will be contacted within 2 business days to discuss enrollment and proceed with registration. If you have any questions, please contact our Director of Creative Learning, Sarah Emerson. Ms. Emerson can be reached at (951) 212-3193, or by emailing semerson@garnerholteducation.com

Garner Holt Education through Imagination is located at 1220 Research Drive, Redlands, CA 92374

Child's First and Last Name*

Child's Birthdate*

Child's Street Address*

Child's City & State*

Child's Zip Code*

Mother/guardian full name*

Father/guardian full name*

Parent Email address*

Alternate Parent Email address

Mother/guardian primary phone*

Mother/guardian work phone

Father/guardian primary phone*

Father/guardian work phone

Desired start date*

For which schedule would you like to enroll your child?*
Extended Day 7:00 am - 6:00 pm $385 weekly/$85 dailyFull Day 7:30 am - 3:00 pm $275 weekly/$65 dailyAfter School Enrichment 3:00 pm - 6:00 pm $150 weekly/$35 daily

Which days do you plan to bring your child?*
MondayTuesdayWednesdayThursdayFriday

What time(s) do you plan to drop off your child?*

What time(s) do you plan to pick up your child?*

How did you hear about the Creative Learning Lab?*
Our Facebook PageFacebook GroupInstagramTwitterLinkedInFlyer at a local businessMailerNewsPeachJarEmailBannerWebsiteOther

What grade is your child this school year?*

Where is your child enrolled in school?*

Why are you interested in enrolling your child in Creative Learning Lab?*
Feeling overwhelmed with supporting my child with distance learningNeed somewhere for my child to be while I workLooking for STEAM enrichment for my childLooking for Social/Emotional support for my childLooking for credentialed educators to enhance my child's school dayI want my child to be able to socialize in a safe environmentOther

Is there any other information you would like us to have at this time?

Do you have any questions or concerns that were not addressed in this application?