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Registration Form
CREATIVE KINESTHETICS
Cedar City Arts Center - 59 N 100 W, Cedar City, UT 84720
Lis Williams 435-553-9738 or
liswilliams8@gmail.com
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Email
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SESSION
Summer Session: June 13, 2022 - June 17, 2022
Fall Session: September 6, 2022 - December 6, 2022
Spring Sesssion: January 10, 2023 - April 11, 2023
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Student's First and Last Name
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Student's Date of Birth (MM/DD/YYYY)
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Class Registration for:
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Summer Camp 10:30-11am (Ages 4-6)
Summer Camp 11-11:50am (Ages 7 & up)
Tuesdays 4:30-5pm (Ages 4-6)
Tuesdays 5-5:50pm (Ages 7 & up)
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Parent/Guardian's Name
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Phone Number
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Address
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Emergency Contact (other than parent) Name/Phone
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Child's T-shirt size
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Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult XS
Adult S
Adult M
Adult L
Adult XL
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