Program Registration and Consent Form
Program Without Walls  Arts and Crafts
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Child Name *
Child Age *
Parent Name *
Address - Street Address and Postal Code *
Contact Telephone Number *
Emergency Contact Telephone Number *
Allergies *
School Name (Optional)
Email Address *
Please Check this box if you are interested in our Monthly Art Starts Newsletter
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This form was created inside of Art Starts Neighbourhood Cultural Centre. Report Abuse