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Home > Continuing Education & Customized Training >Kid U / College for Kids Emergency Contact Information

Kid U / College for Kids Emergency Contact Information

The Emergency Contact Information form must be completed for each online registration. Please complete this form after registering online, then click the Submit button at the bottom of the form.

Students Name
Address
City
State
Zip
Birth Date
Parent / Gaurdians Name
Email Address
Home Phone Number
Work(1) Phone Number
Work(2) Phone Number
Alternate Phone Number

Any special needs or allergies, etc?

I will be attending Kid U / College for Kids at:
Cambridge    Coon Rapids    Both

 

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