Kiker 2020-2021 Voyager Registration      Student Information
One child's information per form - if more than one child is in the program you will need to submit another form.
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Email *
Student's legal LAST name *
Student's legal FIRST name *
Student's gender
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Student's grade level for school year 2020-2021 *
Health Information
List any medical conditions, such as, heart disease, diabetes, epilepsy, severe allergies,  eye or ear problems, any chronic conditions or any other conditions of which the Voyager Program should be aware.
Food Allergies *
List any food allergies your child has or answer none.
Home Address *
Best Phone# *
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