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Prism Performing Arts, LLC
You must complete all asterisked (required) boxes before moving on for enrollment. If any of these are not applicable, please write N/A. Scholarship Application Available Upon Request
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Summer Class and Day Camp Enrollment Form
Be sure to fill out one form for EACH student enrolling in Summer classes or camps.
Student First Name
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Your answer
Student Last Name
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Your answer
Student Birth Date
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DD
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YYYY
Parent(s)/Guardian(s) Names
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Your answer
Phone Number
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Your answer
Email Address
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Your answer
Street Address
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Your answer
City, State Zip
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Your answer
Emergency Contact Name
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Your answer
Emergency Contact Phone
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Your answer
Emergency Contact Relationship to Student
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Your answer
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