Group Connection Registration

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Space is limited in some sessions. We will attempt to accommodate as many families as possible in each session. If you have questions please feel free to contact our office at (913) 624-2800.

1.	Parent Name*

2.	Child's Name*

3.	Child's Date of Birth*

4.	Second Child's Name

5.	Second Child's Date of Birth

6.	Third Child's Name

7.	Third Child's Date of Birth

8.	Phone Number*

9.	Email Address*

	Group Connections