KCC Registration Form
Please share the information listed below. Please fill out a registration form for each child you are signing up for KCC. Thank you!
Email address *
Child's Last Name *
Your answer
Child's First Name *
Your answer
Child's Grade (in the 2019-2020 school year) *
Parent's Name *
Your answer
Second Parent's Name (if available)
Your answer
We will be using Infinite Campus for communication and billing purposes. Please initial that all information on IC is current and you are able to log into the IC parent portal.
Your answer
Payment Options *
Required
Enrollment status (this is for attendance purposes only- does not impact billing) *
Required
I understand that I need to have a set schedule for my child or need to respond to the weekly KCC email about my child's attendance. (Please initial.) *
Your answer
If your child does not show up for KCC on a day that we were expecting them, how would you like us to notify you of their absence? *
Please list the name of the parent that we should contact if your child is absent as well as the email address or phone number we should use. *
Your answer
Please list any health concerns (including food allergies). The nurse's office is not open during KCC hours. *
Your answer
The following people are authorized to pick up my child. (Please list names and phone numbers.) *
Your answer
My child has my permission to walk home. *
Parent/Guardian Signature (please type) *
Your answer
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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