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Registration

To take the Online Program, you must first register with Focus on Kids. Once registered, you will receive a confirmation email with further instructions about how to take the Online Program.

* indicates required field

Personal Information

First Name *:

Middle Name or Initial:

Last Name *:

Gender *:

Male

Female

Your Age *:

* *

Number of Children *:

* *

Age of Youngest Child *:

* *

Home Address

Address 1 *:

Address 2:

City *:

State *:

ZIP Code *:

* *

Home Phone *:
(with area code)

Mobile Phone:
(with area code)

Contacts

In case you move and we have difficulty contacting you, it would help if we could reach someone who could help us contact you. Please list the name, address and phone number of two people who are likely to know how to reach you in the future.

Contact One Name:

Address 1:

Address 2:

City:

State:

ZIP Code:

* *

Phone Number:
(with area code)

Contact Two Name:

Address 1:

Address 2:

City:

State:

ZIP Code:

* *

Phone Number:
(with area code)

For registration or log-in issues, please email focusonkids@missouri.edu.