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Serendipity (Pocahontas)
Please complete this form to begin your registration or call 870-248-4180 to register over the phone.

Registration is only complete once payment of $60.00 is received in full.  Payments must be made in person or by credit card.  Payments cannot be made online.  

Payments by credit card may be submitted by phone at 870-248-4180. 

Class will be begin on Friday, September 20, 2024 at 11:30 a.m.

Email *
First Name *
Middle Name *
Last Name *
Mailing Address  
(Example: 1234 Test Way)
 *
Mailing Address 
(Example: Pocahontas, AR 72455)
 *
Date of Birth *
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Sex: *
Phone Number (Ex: (555-555-5555) *
Email Address *
How did you hear about this class? *
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