Photo Liability: Photographs or videos may be used for KRC Marketing *
Required
Parent Full Name *
Your answer
Parent Contact Number *
Your answer
Address *
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Emergency Contacts
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Does your child(ren) have any food allergies? Please list name and allergen(s).
Your answer
Credit Card Authorization *Tuition payments will be charged automatically on the 1st of each month. I acknowledge that Kern Resource Center will submit credit card payment with below listed card for Monthly Tuition Payment on the 1st of each month. Unsuccessful charges or late payments not received by the 5th will be subject to a 10% service fee.
Full Name on Card:
*
Your answer
Credit Card Number: *
Your answer
CC Issuer (ie. Visa, Mastercard) *
Your answer
CCV (Security Code back of card) *
Your answer
Billing Zip Code *
Your answer
Open Enrollment for New Families
March 15th-April 5th
Early Enrollment Deposit: $600
After April 6th, enrollment deposit increases to $750 per student to secure a spot.