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West Park Cultural Center: Afterschool Youth Arts Programs Registration
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Email
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Your email
Which Program are Your Registering for? (Check all that apply)
*
Design Your Own Anime Character
Beginning Guitar
Photography and Poetry
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Student Name
*
Your answer
Age
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Your answer
Date of Birth
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/
DD
/
YYYY
School Student Attends
*
Your answer
Home Address
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Your answer
Student Email
Your answer
Parent/Guardian 1 Name
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Your answer
Parent/Guardian 1 Email
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Your answer
Parent/Guardian 1 Phone Number
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Your answer
Parent/Guardian 2 Name
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Parent/Guardian 2 email
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Parent/Guardian 2 Phone Number
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