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Consent & Release Form
The Center for the Arts Youth Programs.
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* Indicates required question
Season
*
Spring
Summer
Fall
Winter
Program
*
Choose
Aerial (Beginner/I)
Aerial (Intermediate/II)
Theater
Artmaking
Hip Hop
Student First & Last Name
*
Your answer
Student Age
*
Your answer
Parent/Guardian
*
Your answer
Street Address
*
Your answer
City, State ZIP
*
Your answer
Phone
*
Your answer
Secondary Phone
Your answer
Email
*
Your answer
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