Koinonia Community Solutions (KCS) was selected as the local organization to host and facilitate the Brite Program in their community. KCS will be responsible for managing the day-to-day operations and logistics for the implementation of the Brite Program. For more information, visit their website at www.koinoniasolutions.org or contact the office at 252.999.8120.
Student Information
Allergy/Medical Information
Parent/Guardian/Caregiver Information 1
Parent/Guardian/Caregiver Information 2
Additional Emergency Contact Information
Household Information-this information is gathered for grant purposes only and will be kept secure and confidential.
Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.