Fall '20 KIN Open Enrollment Application

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This is the OPEN ENROLLMENT Kin Application. By filling out this form you are asking us to group your child with children of a similar age group. If you were looking to sign up with a "Pod" of your design, please fill out our POD ENROLLMENT application by following this link: https://forms.gle/vWqhEhnZqCnEDGuF9

We offer two options for each Open Enrollment day - after-school program or day program. The exact times for the after school program will be firmed up once we all learn the distance learning school schedule.

**IMPORTANT** Filling out this form does not guarantee enrollment or registration. Instead, it gives the program your information so we can build our roster. We will be in touch as soon as possible with official placements. Please wait for us to contact you. It could take up to a week.

Email *

**BASIC INFORMATION**

Your Child's Name *

Your Child's Age *

Your Child's Gender *

Female

Male

Non-binary

Other:

Your Name *

Primary Contact - (Name, Relation to Student and Phone #): *

Secondary Contact - (Name, Relation to Student and Phone #): *

Emergency Contact (Name, Relation to Student and Phone #): *

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