Junior Cloggers Class Registration Form
There is a limit of 10 students per class. To secure your spot in class please pay the first month's tuition through GOOGLE WALLET at JuniorCloggers@gmail.com OR by mailing a CHECK payable to Junior Cloggers at 2092 NW Aloclek Dr #501, Hillsboro, OR 97124.
Student's First Name: *
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Last Name: *
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Student's Age: *
Your answer
Shoe Size: *
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T-shirt Size: *
Specify Youth or Adult
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Are you a new or returning student? *
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