Online Application: Kangaroo Kids

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Child Details

School Name*:
Academic Year*:
First Name*:
Middle Name
Last Name*:
Date of Birth*:

Gender*:

Grade Applied*:

Parent Details

First Name*:

Middle Name
Last Name*:
Your Email*:
Password*:
	Minimum 6 characters with at least one number and one special character

*Primary Mobile Number
Alternative Mobile Number

I am*:

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