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YOUR CART
Adult responsible for registration and billing:
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I am an adult student
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What other adults can be contacted if the student needs to be picked up from the studio?
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If this contact would like to receive studio updates through email please provide the address:
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If this contact would like to receive studio updates through email please provide the address:
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Student Information:
Name
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Current Grade Level
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Gender:
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Allergies or Concerns
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Name
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First
Last
Birthdate (mm/dd/yr)
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Current Grade Level
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Gender:
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Allergies or Concerns
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Name
*
First
Last
Birthdate (mm/dd/yr)
*
Current Grade Level
*
Gender:
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Allergies or Concerns
*
Name
*
First
Last
Birthdate (mm/dd/yr)
*
Current Grade Level
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Gender :
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Allergies or Concerns
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Studio Policies:
We frequently take photographs and videos during class. Do we have permission to use your child's photo in our advertising or class emails?
Please Respond:
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Sure!
No Thanks.
Please type your name below to serve as your legal signature.
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