KC Tech Academy Enrollment Form 2021/22

Parent/Guardian Information

Student Emergency Information
In case of emergency, please contact if parent/guardian cannot be reached:
In the event of a medical emergency, an effort will be made to contact the parent/guardian as soon as possible. If communicate cannot be made, you hereby grant permission for your son/daughter to receive the necessary medical treatment including ambulance services, anesthetic, blood transfusion or other, as considered necessary. I understand, medical expenses will be the responsibility of student or parent/guardian.

Consent and Agreement Signatures

Field Trips K-12 Students only: