A Confidently You Teen Night Registration

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Join us for a Teen Night on October 19th from 6:00 - 8:00 pm! Sheryl with Tob.Art will be leading the girls in a Positive Body Image Torso Painting. The boys will be taking part in activities and games that focus on confidence and healthy living. For ages 13 and up!

Email *

Parent/ Legal Guardian First and Last Name *

Parent/ Legal Guardian Cell Phone Number *

Child's First and Last Name *

Child's Date of Birth *

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Child's Legal Gender *

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Child's Relationship to Cancer-Affected Child *

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Child's Address (Street, City, State, Zip) *

Any Known Allergies or Health Conditions? *

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