Kyran Anderson Academy
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WELCOME
d QA Text Here!

Last Updated: March 18, 2003

 

Space is still available...Register Today!

Student admittance into the program will be based on space. So submit your registration early.

If you wish to enroll more than one child, please submit a registration for each child.



Please print and sign the Behavior form. This form is
required to complete your registration.
Click Here: Behavior Form

REGISTRATION FORM
Student Last Name
Student First Name
Street Address
City
County
Zip/Postal Code
Present School
Age
Grade:   

*Students who are in grades 3,4,5,6,7, and 8

are invited to register for this Academy Session.
Date of Birth DD/MM/YYYY
Sex Male Female
Parent/Guardian Name
Home Phone
Work Phone
E-mail

 

Will send lunch money?

YES
NO, THE COST FOR LUNCH IS $5.00 PER CHILD PER DAY.

Will pick my child up at 4:00p.m?

YES
NO

If No, Explain  

  ***Most activities will be held at the Southeast Raleigh Center for Community Health and Development and at the Science House (Centennial Campus) with lunch at Fountain Dining Hall.

***Once you click "Submit Form", click "Yes" on the boxes that will soon appear and your registration form will be submitted.  Thank You.