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KAPS of RCLT
KAPS Registration
Alethea Hartwell
2021-08-03T12:15:58-06:00
KAPS of RCLT
Registration
Student Name
*
Birthday
*
Grade
*
Parent
*
Phone
*
Address
*
Email
*
Best Way to Contact
*
Call
Text
Email
Secondary Emergency Contact
*
Relation
*
Phone
Third Emergency Contact
*
Relation
*
Phone
*
People Allowed to Pick Up Your Student (not listed above)
Allergies
*
Medical/Physical/Other Issues We Should Be Aware Of
My student and I will sign a commitment/disciplinary form on the first day of class
*
Agree
Submit
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