Call us today 816-974-8823 or

info@kcphleb.com

Call us today 816-974-8823 or info@kcphleb.com

Registration

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Program Selection

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Class Selection

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Personal Information

First Name

Last Name

Phone #

Address

City

State

Zip Code

E-Mail

Retype E-Mail

Birth Month

Birth Day

Birth Year

Previous Student

Previous Experience

Expected payment source

Payment Type

Third Party Payer

Social Security (Required by Third Party Payers)

Payment Source