Soul Models MONA Collaboration Registration
July 18th-22nd & August 8th-12th

Held at the Museum of New Art (MONA)
135 Congress Street
Portsmouth, New Hampshire

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Please select which session you would like to sign up for:
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Name of Middle School that your child attends:
Parent/Guardian Name:
Address (Street, City, State, Zip):
Phone Number:
Name of Youth Participant:
Date of Birth & Grade:
Dietary restrictions/allergies/medical needs:
Emergency Contact (if different than listed above) Name & Phone Number:
Please briefly describe what your child’s participation in this program means to you.  What do you hope she will gain from participating in Soul Models?
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