Please provide the email address where you wish to receive a link to use when you are ready to resume:
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Parent's Name (First & Last)
Email
Phone Number
Please list child(ren)'s first name(s) & age(s). Please seperate ceach child with a new row.
Do you know any members (past or present) of Kearney Homeschool Co-op? If so, who? Please list first and last name(s), if possible.
