Believe Autism Class Registration
Please fill out the information below to register for the Dance & Art classes with Believe Autism. Thank you!
Student Last Name
Can we take pictures?
Pictures may be used for website, Facebook page, flyers, etc.
Class Attending (JACKSONVILLE, FL)
Monday: Creative Movement 3:30-4:30 (5-12 yrs) @ River City Arts & Event Center
Tuesdays: Creative Dance and Movement 5:30-6:30 (Teen) @ River City Arts & Event Center
Do you have a sibling or friend who will attend?
If so, Name & Age
How did you hear about Believe Autism
Please provide any additional information about your child.
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