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Community Art Class Registration
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Child's Name:
*
Your answer
Age
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Parent/Guardian
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Address
*
Your answer
Class date (Wednesday only)
*
MM
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DD
/
YYYY
Time
*
3:30PM-4:15PM
4:30PM-5:15PM
Required
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