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Kreative Mindz Summer Academy
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Parent/ Guardian name
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Your answer
Contact number
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Your answer
Student name
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Your answer
Student age
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Your answer
Will transportation be an issue for your student?
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Yes
No
What grade is this student in the next school year?
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Your answer
Name of current school
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Your answer
What Major would your child be interested in
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Dance
Singing
Instrumental music
Drama
Stage, Audio, Video Production
Fashion/Fashion Design
Technology
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Are there any disabilities we should know about
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Your answer
Are there any health related issues we should know about?
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Your answer
Did this student have a IEP or 504 plan last school year?
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Yes
No
Summer Academy hours are 9am-3pm
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Site Preference
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W.E.B. Debois Learning Center 4510 E. Lindwood Blvd KCMO (K-12)
Honey Bears Early Learning Education Center 8315 State ave. KCK (Elementary ONLY)
Registration fees
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$250 per child
$450 for 2 students
$700 for family up to 4 students
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I understand my student(s) registration is not completely registered until the registration form and payment is completed.
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I Understand
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