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2019 Studio 52 Winter Class Registration
Welcome to Studio 52 2019 Spring Classes! Please choose the class you would like to register for below. You can register up to 3 students at a time. Classes are $150 / class. We also offer a sibling discount at $125/sibling.
Parent/Guardian Name *
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Student 1 Name *
Your answer
Student 2 Name
Your answer
Student 3 Name
Your answer
Student 1 Age *
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Student 2 Age
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Student 3 Age
Your answer
Student 1 School / Grade *
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Student 2 School / Grade
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Student 3 School / Grade
Your answer
Student 1 Gender *
Required
Student 2 Gender
Student 3 Gender
Parent/Guardian Email *
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Parent/Guardian Cell Phone *
Your answer
Parent/Guardian Home/Work Phone *
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Address *
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City *
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State *
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Zip Code *
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Emergency Contact Name
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Emergency Contact Relationship to Student
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Emergency Contact Primary Phone
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Student 1 Class Attending *
Required
Student 2 Class Attending
Student 3 Class Attending
Student 1 Dietary restrictions *
Your answer
Student 2 Dietary restrictions
Your answer
Student 3 Dietary restrictions
Your answer
Student 1 Disabilities *
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Student 2 Disabilities
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Student 3 Disabilities
Your answer
Student 1 Medications *
Your answer
Student 2 Medications
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Student 3 Medications
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I hereby agree in full to the Parent/Guardian Release included below. *
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