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Email *
Who would you like to register?
Full Name *
 Also include a nickname in parentheses if preferred.
Year of Birth  
(for example: 1940)
Current Residence *
For participants living in a group residence, please indicate which one and which room number (if possible). If you live in a private residence, please indicate who you live with and in what town.
Your name *
What is your relationship to the person you are registering? *
Your phone number(s) *
Thank you for your interest in our collaborative art programs!
Stay tuned! We will be in touch with you within a few days to confirm receipt and discuss class options and scheduling details.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Art Together.