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Registration Form
Email address *
What is your student’s name? *
Your answer
Who is your student’s teacher? *
Your answer
Does your student have any medical conditions that we need to accommodate?
Please indicate full name and contact number of the person(s) that have permission to pick up your student after the class. *
Your answer
Who should we contact in case of emergency? (Please include phone number) *
Your answer
What is the parent/ guardian’s name and email address? *
Your answer
I understand that the $60 registration fee will be due the first day of class via check? *
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