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Student Registration Form
Ichen Art Academy provides a free trial class for each new student. Please fill out this registration form, and our office will contact you shortly.
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Email
*
Your email
Parent/Guardian Information (Required if student is a minor)
Please provide parents' contact information
Parent/Guardian's Name
Your answer
Parents' Phone Number #1:
*
Your answer
Parent's Phone Number #2
Your answer
Home Address:
*
Your answer
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