Alliance Youth & Alliance Kidz Family Registration
Please complete this form to register your student for Alliance Youth or Alliance Kidz. This information will need to be completed in the fall at the beginning of each school year, or during your first visit. The following form is for the 2023-2024 School Year.

Completing this form gives permission for Alliance Youth or Alliance Kidz to take photographs that may include your student for the purpose of promotion or classroom bulletin board decoration, as well as, permission for medical treatment in an emergency setting.
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Please select which you are registering for: *
Required
Parent/Guardian Last Name

 *
Parent/Guardian First Name *
Relationship to student *
Email *
Phone Number *
Address *
Emergency Contact (Name, Relationship, Phone #)
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