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     Childcare Licensing And Regulation Information System
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Create CLARIS User Profile
Good Beginnings Last a Lifetime!
Please enter the following:
I am creating a Child Care Account for :
Do you have a KDHE Person ID ? Yes
No
Use the legal name that is used for tax purposes.
First Name : *
Middle Name :
Last Name : *
Social Security Number:
Date of Birth : MMDDYYYY *
Gender : Male Female
Race:
 
Person ID : *
Date of Birth : *MMDDYYYY*
Email Address : *
Primary Phone : Ext: *
Use numbers only. Special characters are not allowed.
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By Agreeing to this CLARIS User Security and Confidentiality Agreement, I agree to:

populated upon choice of CLARIS account.

I have read, understand, and agree to abide by the CLARIS User Security and Confidentiality Agreement. I understand that the KDHE Child Care Licensing CLARIS Security Manager may terminate my access to CLARIS for any reason. I understand that my access to CLARIS will be terminated for any violations of the CLARIS User Security and Confidentiality Agreement and that I may be subject to penalities imposed by law.
Do you agree with the terms of this usage agreement? I Agree I Do Not Agree
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