Inclusive Arts & Craft Fort Gratiot                      Class Registration Form 
Come join us on the 2nd Monday of each month as we create something unique.  Support and modifications will be provided to ensure a successful project for everyone.  Please complete this registration form to be added to the monthly class roster.  A reminder email will be sent prior to each monthly class.  Class takes place at our Fort Gratiot location.  Disability Network Eastern Michigan, 4351 24th Ave, Ste. 1, Fort Gratiot, MI
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Email *
Name (first and last) *
Email *
Address  *
City *
Zip Code *
Phone Number  *
Date of Birth (needed for federal grant reporting purposes only) *
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Please indicate any conditions that may require activity modifications (IE: stroke, low vision, etc) *
A copy of your responses will be emailed to the address you provided.
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