Kodomo 2022-23

2024-2025 Kodomo Registration
Student's Name*

First NameLast Name
Student's Date of Birth*

MonthDayYear
Date
Student's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Parent's Name*

First NameLast Name
Primary Parent's Phone Number*
Please enter a valid phone number.
Primary Parent's Email*
example@example.com
Secondary Parent's Name

First NameLast Name
Secondary Parent's Phone Number
Please enter a valid phone number.
Secondary Parent's Email
example@example.com

Your Registration Fee Total
Your Registration Total

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