Milpitas Discoveryland

1991 Landess Ave • Milpitas, CA 95035-7071 • 408-263-7626



 
.
Student Inquiry
.
We will be delighted to answer any questions you may have to enroll your child(ren) at Discoveryland. Call us at (408) 263-7626, or fill the form below so that we can assist you as quickly as possible.
 

Parent/Sponsor Information
Name                  *
 
Address              

                         

City                    

State                     Zip

Telephone           *     Best time to call    (Pacific Standard Time)

Email                  *

Referred by          

* Required Information

Student Information
  Student #1 Student #2 Student #3
Name
 
 
 
 
 
 
 
Birthdate (dd/mm/yy)  
 
 
 
 
 
Date to start (dd/mm/yy)      
Current School
(if any)
 
 
 
 
 
 
 

Note


Enter Code:  *  Enter the code in the graphic below to help eliminate spam entries.
.
     

1991 Landess Ave • Milpitas, CA 95035-7071 • 408-263-7626