School Registration Form

Please download school registration form from this link or fill out and submit the online version below.

Download MS Word Registration Form »

 

Student Status (required)

First Name (required)

Last Name (required)

Student Age (required)

Student Birthday (required)

Sex (required)

Grade Currently In (required)

Name of School (required)

Name of Parent / Guardian (required)

Home Phone (required)

Cell Phone (required)

Address (required)

City (required)

State (required)

Zip (required)

Email (required)

Your Email (required)

How did you hear about us?
InternetFacebookTeacherFriend/FamilyClose to Home/Work

SCHOOL POLICIES EFFECTIVE THROUGHOUT STUDENT'S ENROLLMENT AT KCYMS

Please check all boxes indicating that you understand and agree to the terms of this contract.

PLEASE DO NOT LEAVE YOUR CHILD UNATTENDED