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KIDS ON STAGE - Session 2 Registration (WAIT LIST ONLY)
Please complete all information below. Enrollment is limited and will be closed when capacity is met.
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PARTICIPANT NAME (first and last)
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Your answer
PARTICIPANT MAILING ADDRESS - (number and street)
*
Your answer
PARTICIPANT MAILING ADDRESS (city, state, AND zip)
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Your answer
PARTICIPANT BIRTH DATE (month/day/year)
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Your answer
PARTICIPANT CURRENT AGE
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5
6
7
8
9
10
11
12
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MALE
FEMALE
IS THIS YOUR CHILD'S FIRST ARIEL PROGRAM?
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YES
NO
PARENT/GUARDIAN 1 - NAME (first and last)
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Your answer
PARENT/GUARDIAN 1 - E-MAIL ADDRESS
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Your answer
PARENT/GUARDIAN - Best PHONE NUMBER to Reach You (xxx-xxx-xxxx)
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Your answer
PARENT/GUARDIAN 2 - NAME (first and last)
Your answer
PARENT/GUARDIAN 2 - E-MAIL ADDRESS
Your answer
PARENT/GUARDIAN 2 - Best PHONE NUMBER to Reach You (xxx-xxx-xxxx)
Your answer
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