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St Louis Irish Arts Fall Registration
School Year 2018-2019
Checks should be made payable to SLIA School. Please mail to: SLIA 7480 Whitehaven Dr. St. Louis, MO 63123
Family Last Name
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Mother's Name
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Father's Name
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street address with zip
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home phone number
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cell number
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primary email address for newsletters and communication
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secondary email address (if applicable)
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Emergency name and number
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Is your family new to SLIA?
Photo Release (Check one):
Father's occupation and place of employment
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Mother's occupation and place of employment
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