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!
Email address *
Student Name *
Your answer
Parent/Guardian #1 Name *
Your answer
Parent Guardian #1 Phone Number *
Your answer
Parent/Guardian #2 Name
Your answer
Parent Guardian #2 Phone Number
Your answer
Parent Guardian #2 Email
Your answer
Grade *
Classroom Number *
Your answer
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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This form was created inside of Advocates for Language Learning El Marino.