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2021-2022 Registration Form

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Kaleidoscope School

16850 N. 16th Street   Phoenix, AZ  85022

602-313-0917

Please complete the form below. Required fields marked with an asterisk *

Student Information

Sex*
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State*
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Does your child require special education or have physical accomodations?*
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Grade Entering*
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Parent/Guardian Information

State*
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State*
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ONLY MILITARY FAMILIES NEED TO FILL OUT THIS SECTION

Is the student a dependent of a member of the Unites States military service in the Active Duty Army, Navy, Air Force, Marine Corps, or Coast Guard?
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Is the student a dependent of a fulltime member of the National Guard or Reserve force of the United States Military (Army, Navy, Marine Corps, or Air Force)?
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Is the student a dependent of a member of the National Guard, or Reserve force of the United States Military (Army, Navy, Marine Corps, or Air Force)?
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Confirmation Email