Ceramics Class Application
Please note: COMPLETING THIS FORM DOES NOT GUARANTEE A SPOT IN THIS CLASS. You will be contacted to confirm space and eligibility. Thanks for your interest in ALLEM's enrichment classes!
Parent/Guardian #1 Name
Parent Guardian #1 Phone Number
Parent/Guardian #2 Name
Parent Guardian #2 Phone Number
Parent Guardian #2 Email
Do you consent to your child’s image, video or work be used for public relations, public information, promotion, publicity or instruction by ALLEM?
Does your child attend Afterschool Care?
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