Kearney Education Center (KEC) Application
Please fill out this application for our Toddler program or our Bright Futures Preschool program
Email address *
Please select type of Application *
Name of Child (First and Last) *
Your answer
Date of Birth of Child *
MM
/
DD
/
YYYY
Age of Child *
Your answer
Gender of Child *
Was your child born under 5.5 lbs or less than 37 weeks? *
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