Revolutionary Art Classes

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電子郵件 *

Parent/Caregiver Name *

Young Person Name *

Young Person Pronouns

Young Person Grade *

Parent's Phone Number *

Emergency Contact *

Second Emergency Contact *

Dietary Concerns ( food preference, allergies) [Food will be provided] *

Do you want a reminder text a day before class? *

Yes

Would you like to be contacted about future events? *

Yes

Do you need help with travel to and from the art class?

Yes

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Any questions or comments

Any questions text Lindo at 267-259-9853

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