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
Sign in to Google to save your progress. Learn more
Email *
SESSION
Clear selection
Student's First and Last Name *
Student's Date of Birth (MM/DD/YYYY) *
Class Registration for: *
Required
Parent/Guardian's Name *
Phone Number *
Address
Emergency Contact (other than parent) Name/Phone
Child's T-shirt size *
Notes
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy