Imagine Music and Arts - Fall 2017 ART in 3D Class Registration Form
Starts September 11, 2017

Mondays, 6:00-7:00pm

10-Week Session

$150 per student, includes supplies


Register by September 5th to reserve a space!

Payment in entirety is due on the first day of class unless prior arrangements have been made with the Director.

Location: Imagine Music and Arts, 800 W Rock Creek Rd. #121, Norman

Student Last Name *
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Student First Name *
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Parent Name(s) *
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Address *
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Phone Number (most used) *
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Additional Phone Number (in case of emergency) *
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Parent Email Address *
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Student's Birthdate *
MM
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YYYY
Student School *
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Student Grade *
Please list any special needs, learning or behavior disabilities, or dietary restrictions. (It is esp. important for the teacher to know of any diagnoses so as to be sensitive when working with the student.)
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Other activities the student participates in: *
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Student or parent goals, wishes, hopes, dreams, desires for this class: *
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Additional comments or questions for us:
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