KidsTown Hybrid and Remote Learning Support Registration
To ensure we are providing the best support for your child, please fill out the following questions below.
Email address *
Parent and/or Guardian Name: *
Parent or Guardian Preferred Contact Number
Student Name: *
Preferred Dates You Would Like to Enroll (must not exceed 6 hours per day and 15 hours per week): *
Required
Child's School *
Child's Grade
Is there anything we need to know about your child's learning style?
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