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785-623-5900 | Submit an Email
2500 Canterbury Drive
Hays, KS 67601 | Directions

KidsQuest Registration Form

Please complete the form to register for The Center KidsQuest summer program. Call 623-5900 for further questions or feel free to e-mail Kelly Flaska at kelly.flaska@haysmed.com.

    First Name (required)

    Last Name (required)

    Age (required)

    Address (required)

    Phone Number (required)

    E-Mail Address (required)

    T-Shirt Size (required)

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