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Poetry in Motion Registration Form
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Child Name
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Child Age & Grade Entering
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Address
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Emergency Contact information (Name, phone number, relationship to child)
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Type of Registration
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Session I: June 3-7
Session II: June 10-14
Session III: June 17-21
Session IV: June 24-28
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Disclaimer
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My child will not plagiarize any works. Writings done in Poetry in Motion are my child's original writings. My child's works may be displayed in a class book.
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