K-5 Explore490 Registration - 2021
June 7 - July 1; Monday - Thursday; 8:00 AM - 12:00 PM Registration due by May 21
Email address *
Student Name (First and Last) *
Current Grade (2020-21 school year) *
Parent Name (First and Last) *
Cell phone *
Home phone (enter N/A if not applicable) *
Address *
Emergency Contact #1 - Name and number *
Emergency Contact #2 - Name and number *
Student will need transportation *
If your student needs transportation, from or to which address? If no transportation is needed, answer N/A. *
My student's teacher has informed us he/she qualifies for waived tuition due to being academically at-risk. *
My student qualified for free or reduced lunches during 2020-2021 school year. *
Please list any allergies or medical considerations *
I give permission for USD 490 to take photos and/or record audio/video of my child while they are at Explore 490 for use in district promotional materials. *
Questions? Enter question below, or contact DeDe Pierce at (316) 322-4850 or dlpierce@eldoradoschools.org
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