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International Friends Keller - Student Registration
2023 - 2024 Year
Please provide the information requested below and then click "Submit"
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* Indicates required question
Email
*
Your email
First name
Your answer
Last name
Your answer
Birth Month and Date
Ex. 01 / 05 means January 5th
MM
/
DD
Home address(street)
Ex. 123 Anywhere Street Apt. 4567
Your answer
Home address (city)
Ex. Keller
Your answer
Home address (state)
Ex. TX
Your answer
Home address (zip code)
Ex. 76248
Your answer
What is your home number?
ex. 555-123-4567
Your answer
What is your cell phone number?
ex. 555-123-4567
Your answer
Preferred Method of Contact
How do you prefer to be contacted?
cell number
Email Address
home number
text
Other:
Clear selection
Emergency Contact Name
Who should we contact in the case of emergency? Ex) John Smith
Your answer
Emergency Contact Phone Number
What is the phone number for your emergency contact? Ex) 555-231-2938
Your answer
Number of Children
How many children do you have?
Your answer
Children(s) Ages
How old are each of your children?
Your answer
Which country are you from?
Your answer
Would you like to buy a student workbook ($5 fee)?
NOTE: We will be using the same books we used in the spring session.
Yes
No
Clear selection
Do you need transportation?
Yes
No
Clear selection
Submit
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