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Parent/Guardian Consent Form/Child Information Record

Please submit parent consent form and a copy of your child's immunization records or you may fax items to (269)343-7025.

If you have additional questions or need assistance please contact Tulani Glenn, Director of Academics at (269)343-7023.

The Family Registration Fee is needed to complete registration. See Below. Early registration $50 if paid before 6/3/19, $75 after. 


New Genesis Inc.,

1225 W. Paterson St.

Kalamazoo, MI 49007


Fax (269)343-7025


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New Genesis Inc. is 501(c)3 Non Profit Organization