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First Name *
Parent ot guardian
Last Name *
Parent or guardian
Email address *
Parent or guardian
Phone number *
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Number of children attending demo *
Name and age of child(ren) attending demo *
Demo day *
Please, give us 24 hrs. to receive confirmation email.
Name of adult attending demo, if different from parent/guardian
How did you hear about us? *
Any other comments
Initial for Agreement to Terms and Conditions *
Parents work hands on with their child in these classes. Please remain with your child (within hands reach) at all times. I give my consent for pictures taken of my child involved in EspanolEsParaTodos programs to be used for future promotions or displays. Waiver: I understand that some activities have inherent risks and I hereby assume all risks and hazards incident to my participation. I further waive, release, absolve, indemnify and agree to hold harmless the instructor and other participants.
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