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Program Registration
Please complete the registration below for your child to participate in a program that CDL is offering at your school.
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Email
*
Your email
Student Name:
Your answer
Date of Birth
MM
/
DD
/
YYYY
Gender
Male (He, Him)
Female (She/Her)
Nonbinary (They/Them)
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Home Address, City, State, zip
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School
Your answer
Grade Level
Your answer
Program
Choose
Young Actor's Playground - 6 weeks - $200
Weird Science - 6 weeks - $225
Student 2 Name (If Applicable)
Your answer
Date of Birth
MM
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DD
/
YYYY
Gender
Male (He, Him)
Female (She/Her)
Nonbinary (They/Them)
Clear selection
Home Address (if different from above)
Your answer
Grade Level
Your answer
Program
Choose
Young Actor's Playground - 6 weeks - $200
Weird Science - 6 weeks - $225
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