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Apply to Join KCHA!

Fill out the form below and click the Continue button at the bottom.

This site may require other information or dues before approving web site membership.

Here are a few important things for you to know as you register:

  • The "Primary" person is usually the mother, and the "Secondary" person is usually the father.  Please put whichever person you would like to be the primary and secondary points of contact for your family.
  • Your child's Grade is what they would be if they were attending public school.  This is not what grade level curriculum you are using for them.
  • When you reach the part of registration that requests info about your children, there is a check box that states "Show Children Info to Other Families." That is referring to other KCHA families with memberships.  This gives you the option of whether you want your children to be included in the Member Directory.  You can also update this preference after your registration is approved.
  • Make sure you read the Code of Conduct and Payment Policies carefully. Exceptions will not be made.

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Children

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Conversation Emails:

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Additional Questions




 

Emergency Information

Please provide the name and phone number of an emergency contact. (This CANNOT be the second adult registered above.)

Additionally, please indicate if you prefer Parkview or Lutheran hospital systems. In the event that a leader is unable to access this information, or if you do not provide a choice, then KCHA leaders will default to choosing Parkview for any emergency medical needs.

 

Policies & Waiver Agreements

Click the highlighted policy in order to open it in a new window. By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.

Payment Options



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