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Clay Class for Children
Registration Request Form for Class Lottery
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* Indicates required question
Name of Parent
*
Your answer
Name of Child
*
Your answer
Age of Child
*
Your answer
Information on Child Requiring Instructor's Attention
Your answer
Parent Address (Street, City, State, Zip):
*
Your answer
Parent E-mail
*
Your answer
Parent Cell Phone
*
Your answer
Parent Home Phone
*
Your answer
Class is scheduled for Noon to 2pm on Sundays. Would an alternate time on Sunday be available? If yes, what would be the two hour time?
Your answer
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