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4-H Class - Art Around the World
No transportation provided for this class. Parents must bring and pickup their student.
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Student First and Last Name
*
Your answer
Classroom Teacher
Your answer
Site Student Attends
Dilworth Elementary
Glyndon-Felton Elementary
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Address
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Your answer
City
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Your answer
State
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Minnesota
North Dakota
Grade
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1st
2nd
3rd
4th
Parent First and Last Name
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Your answer
Parent Phone Number (xxx-xxx-xxxx)
Your answer
Parent Email Address #1
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Your answer
Parent Email Address #2
Your answer
Food Allergies (Note in the "other" section what food allergies your child has)
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None
Other:
Registration is not final until complete payment is made in full. How will your payment be made?
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SchoolPay
Check (Payable to DGF Schools and routed in envelope addressed to DGF Community Ed. Mailing address is 513 Parke Avenue, Glyndon, MN 56547)
Cash (Dropped off in the Community Ed Office in Glyndon)
I give/do not give permission for photos or videotapes of my child to be reproduced for DGF or 4-H promotional or educational purposes.
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Yes, I give permission
No, I do not give permission
I, the undersigned, parent/guardian of the above name child assume responsibility in case of accidents, injury or lost or damaged personal items during the program’s duration.
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I agree
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