Apply to Innovus Innovation Center

Please use this form to apply for Innovus Innovation Center’s Fall program. Please submit a separate application for each child you are enrolling. Once your application is submitted, a member of our team will reach out.

Please enable JavaScript in your browser to complete this form.

Parent's name *

Parent's phone number *

Parent's email *

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Child's name *

email Parent's share

Child's date of birth *

Desired enrollment date

Child's current grade--- Select Choice ---Pre-KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade

Child's current school (or homeschool)

Please share anything about your child or family you would like us to know

Submit