Pre-Registration Form

We’re so excited to hear from you. Please fill out this pre-registration form so that we can learn more about you and your children’s needs. Please note in the comments section if you’re interested in learning about a specific program or extracurricular activity. We will contact you as soon as we receive the form.
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  • Child’s Information

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  • Parent/Guardian Information

  • Emergency/Work Information

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  • This field is for validation purposes and should be left unchanged.

One of our administrators will reach out to you ASAP to chat with you personally and discuss next steps. Also, please feel free to call us directly at 804.293.4133. Prior to your child’s attendance at Midlothian Kids Academy, additional enrollment information bust be completed, signed and returned to the MKA office along with your child’s non-refundable registration/curriculum fee