Do you live in zip codes: 43205, 43206, 43207, 43211 or 43224? Are you a parent, guardian or grandparent of a child who will be able to start kindergarten in the Fall of 2024? Do you want to learn some ways to help your child get ready for kindergarten?

SPARK can help you be your child’s first and forever teacher! The SPARK Program will come to you at your home or a location of your choice. We will work with you and your child to:

Read books! Learn new words! Discover letter sounds! Do preschool math! Write letters and numbers!

SPARK is FREE and it includes books and supplies! Children who have been in the SPARK Program do better on school tests than children who have not been in SPARK. For more information, please fill out the form below, call Mickie at (614) 355-0714 or email SPARK@NationwideChildrens.org.

SPARK Program Information FormCaregiver InformationCaregiver First Name

Caregiver Last Name

Street Address

City

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Daytime Phone

Alternate Phone

Email Address

Referred By

Child Information Child’s Name

Is the child in preschool/Head Start?

No

Yes

If yes, where?

Child’s Date of Birth (Day/Month/Year)

Do you live in zip codes: 43205, 43206, 43207, 43211 or 43224? Are you a parent, guardian or grandparent of a child who will be able to start kindergarten in the Fall of 2024? Do you want to learn some ways to help your child get ready for kindergarten?

SPARK can help you be your child’s first and forever teacher! The SPARK Program will come to you at your home or a location of your choice. We will work with you and your child to:

Read books! Learn new words! Discover letter sounds! Do preschool math! Write letters and numbers!

SPARK is FREE and it includes books and supplies! Children who have been in the SPARK Program do better on school tests than children who have not been in SPARK. For more information, please fill out the form below, call Mickie at (614) 355-0714 or email SPARK@NationwideChildrens.org.

SPARK Program Information FormCaregiver InformationCaregiver First Name

Caregiver Last Name

Street Address

City

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Daytime Phone

Alternate Phone

Email Address

Referred By

Child Information Child’s Name

Is the child in preschool/Head Start?

No

Yes

If yes, where?

Child’s Date of Birth (Day/Month/Year)

Do you live in zip codes: 43205, 43206, 43207, 43211 or 43224? Are you a parent, guardian or grandparent of a child who will be able to start kindergarten in the Fall of 2024? Do you want to learn some ways to help your child get ready for kindergarten?

SPARK can help you be your child’s first and forever teacher! The SPARK Program will come to you at your home or a location of your choice. We will work with you and your child to:

Read books! Learn new words! Discover letter sounds! Do preschool math! Write letters and numbers!

SPARK is FREE and it includes books and supplies! Children who have been in the SPARK Program do better on school tests than children who have not been in SPARK. For more information, please fill out the form below, call Mickie at (614) 355-0714 or email SPARK@NationwideChildrens.org.

Do you live in zip codes: 43205, 43206, 43207, 43211 or 43224? Are you a parent, guardian or grandparent of a child who will be able to start kindergarten in the Fall of 2024? Do you want to learn some ways to help your child get ready for kindergarten?

SPARK can help you be your child’s first and forever teacher!

The SPARK Program will come to you at your home or a location of your choice. We will work with you and your child to:

  • Read books!
  • Learn new words!
  • Discover letter sounds!
  • Do preschool math!
  • Write letters and numbers!

SPARK is FREE and it includes books and supplies!

Children who have been in the SPARK Program do better on school tests than children who have not been in SPARK.

For more information, please fill out the form below, call Mickie at (614) 355-0714 or email SPARK@NationwideChildrens.org.

SPARK Program Information FormCaregiver InformationCaregiver First Name

Caregiver Last Name

Street Address

City

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Daytime Phone

Alternate Phone

Email Address

Referred By

Child Information Child’s Name

Is the child in preschool/Head Start?

No

Yes

If yes, where?

Child’s Date of Birth (Day/Month/Year)

SPARK Program Information FormCaregiver InformationCaregiver First Name

Caregiver Last Name

Street Address

City

State

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

Daytime Phone

Alternate Phone

Email Address

Referred By

Child Information

Child’s Name

Is the child in preschool/Head Start?

No

Yes

If yes, where?

Child’s Date of Birth (Day/Month/Year)

SPARK Program Information Form

Caregiver Information

Is the child in preschool/Head Start?

No

Yes