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Registration forms due Thursday, January 23rd ~' <br /> ** Please make a separate check for each class.*~_ <br /> <br /> r <br /> <br />Class# Title Location of Class: <br /> i. <br />Last Name First <br />Address City i Zip. <br /> <br />Phone (h) (w) Parent Name ~;i <br />School You Attend Grade Classroom Teache¥ <br />Class Fee Date Day Time <br />If class session is unexpectedly cancelled, my child knows to go to (Name) <br />My child has the following special/individual needs (i.e.: uses wheelchair, diabetic, etdr~):~ <br /> OFFICE USE: Date Cash Check <br /> <br />Class# Title Location of Class: <br />Last Name First <br />Address . City ~!r.~ . Zip <br />Phone <br /> (h) (w) Parent Name <br /> <br />School You Attend Grade Classroom Teach~' <br />Class Fee Date Day Time i?! r~ <br />If class se~si~--~--i~nex'pected-~ cancelled, my chil--~ows t~ t-~'-~-~me) Ii'~ <br />My child has the following special/individual needs (i.e.: uses wheelchair,- diabetic, et~) <br /> OFFICE USE: Date .Cash. Check~ <br /> <br />Class# Title Location of Class: <br /> ......................... <br />Last Name First <br />Address City ~ -~Zip_ <br />Phone (h) (w) Parent Name .i~ <br /> <br />School You Attend Grade Classroom Teach~. <br />Class Fee Date ~Day Time ~ <br />If class se~i~-~ ~-~nexPectedly cancelled., my ~hi~ knows ~- ~-'~ ~- (--~me) ~ <br />My child has the following special/individual needs (i.e.: uSes wheelchair, diabetic, et~'~) <br /> <br /> OFFICE USE: Date .... Cash_ ~Check~ <br /> <br />Class# Title Location of Class:~. <br />Last Name First ?~ <br />Address City ~d Zip <br />Phone (h) (w) Parent Name :~;'.~,. <br />School You Attend Grade Classroom Teacher <br />Class Fee Date Day. Time ~ <br />If class session is unexpectedly cancelled, my child knoWs to go to (Name) !~ <br />My child has the following special/individual needs (i.e.: uses wheelchair, diabetic, et~ <br /> <br /> OFFICE USE: Date Cash ' Check <br /> <br /> <br />