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Creative Learning Lab Registration Form
Class Registration
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student Age
*
Choose
5
6
7
8
9
10
11
12+
Parent Name (if applicable)
*
Your answer
Address
*
Your answer
Phone Number (Cell)
*
Your answer
Phone Number (Home)
*
Your answer
Allergies/Health Concerns
*
Your answer
Classes
*
Summer - Mixed Media for Kids - Mondays 4:30 ($25 per class) 6 class min/9 class max
Summer - Illustration/Painting - Wednesdays 6:00 ($25 per class) 6 class min/9 class max
Payment Type
Please Note: We will have a form for you to complete on your first day of class to let us know which days you will be attending classes during the summer session.
*
Venmo @CLL5160
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