Application for Enrollment

2425 Bethel Rd. Columbus, OH 43220 | 614.51.8814
A $50 nonrefundable application fee must accompany this application. Once your application is submitted, someone from our office will contact you collect the fee over the phone.

Child's Name *
Child's Name
Gender *
Home Address *
Home Address
Parent's Name *
Parent's Name
Cell Phone *
Cell Phone
Work Phone
Work Phone
Parent's Name
Parent's Name
Cell Phone
Cell Phone
Work Phone
Work Phone
Legal Guardian, if not listed above
Legal Guardian, if not listed above
Meadow park Church member *
For children 6 weeks to 5 years. Please answer either "full week" or "partial week" by choosing specific days
For children grades K through 5th. Please answer either "full week" or "partial week" by choosing specific days
Kindergarten Program
Grades 1st-5th