751 S. 8th St.
Atchison, KS 66002

Phone. 913.360.6192
Fax. 913.360.6193

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First Name:
Last Name:
Address:
street
apt. #
city
state
zip
Phone:
Age:
Do you have children that will need childcare?
Yes
No
If so, how many children will need childcare?
Do you have an SRS case manager, court services officer, Community Corrections Officer, or any other person you would need to report?
Yes
No
If so, what is their name?
Their position? (for example, case manager)
If you have more than one, what is their name?
Their position?

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Adult Basic Education/
GED Classes

After filling in the required fields, press submit at the bottom of the page. You will eventually be directed to a page that states "Continue," click on "continue" to be directed back to the Happy Hearts, Inc. website. Thank You!