Tibetan Language and Cultural Art School
Online Registration 
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TASC, P O Box 3298, Culver City, CA 90231.  Phone: 818-538-9842
Student Name (First and Last Name) *
Student Date of Birth *
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Name of School Student Attends And Grade Level *
Parent/Guardian (1) Name *
Parent/Guardian (1) Contact Number *
Parent/Guardian (1) Email *
Parent/Guardian (1) Address *
Parent/Guardian (2) Name *
Parent/Guardian (2) Contact Number *
Parent/Guardian (2) Email *
Parent/Guardian (2) Address (Type "SAME" if not different) *
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