Kokomo Urban Outreach

Student Application

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Let’s get your child signed up.

This takes about 5 minutes, and you can sign at the end right on your phone.

📋 You’ll need:

  • Your child’s date of birth and grade
  • Your address and phone number
  • Someone we can call in an emergency

Which programme is this for?

Not sure? Pick the closest one — a staff member checks this before anything is finalised.