Fairytales in Motion Class |
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Student’s Name_________________________ Age_____Sex____ Parent’s Name____________________ Home Phone______________________ Business Phone____________________ Address__________________________ City______________St____Zip_______ Email Address_____________________________ Class Code: I, ___________________________________ I hereby affirm that my child is in good physical condition and does not suffer from any disability that would prevent or limit his/her participation in this program. In consideration of my child’s participation in Fairy Tales in Motion, I ______________________________ ____________________________________ Please mail this form along with check for payment in full to: Jan Taylor |
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