2023-2024 KFIVE Student Registration Form 
Please complete the entire Google form. Upon completion, our team will reply with a confirmation email stating that your child has successfully signed up for our program. We are scheduled to begin on October 5, 2023. Further details will be sent out via email. Please be sure to check your spam folder if you do not receive confirmation within 48 hours. 
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Email *
Parent/Guardian Name
Parent/Guardian Email *
Parent/Guardian Phone Number *
Student Name *
Student Grade Level *
Student allergies or other medical concerns? *
By typing your name, you give consent to KFIVE for the irrevocable right to publish videos, photos, recordings, etc. of your child on our social media platforms and websites. You agree to grant us the permission to other entities to reproduce the images or recording for educational purposes only. There will be no reimbursement for the right to take or use images or video recording of your child. (If you do not give consent, please type "No".)
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By typing your name, you assume any risk and take full responsibility and waive any claims of injuries, death, or damage to personal belongings associated with your child while attending KFIVE Tutoring and events organized by the KFIVE Orangization. (If you do not agree with the above terms, please type "No".)
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By typing your name, you agree to compensate for any damages or loss of equipment associated with your child. KFIVE is not responsible for any broken or loss materials, and the entire cost will be paid for by the parent. 
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Any additional information you would like to share with us? (you can info such as how your child learns best, the topics they are currently learning in school, anything specific your child struggles with, and what you want your child to get out of this experience)
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