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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
street address with zip
home phone number
primary email address for newsletters and communication
secondary email address (if applicable)
Emergency name and number
Is your family new to SLIA?
Photo Release (Check one):
I give permission for photos of my child(ren) to be used by SLIA, in print or on the website
I do NOT want my child(ren)'s photo(s) to be used in SLIA publications
Father's occupation and place of employment
Mother's occupation and place of employment
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