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Kids Classes Registration Paradise Valley
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7
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1
Student Name
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2
Student Date of Birth
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Date
Year
Month
Day
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3
Gender
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Male
Female
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4
Allergies/Special Health Conditions
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5
Emergency Contact Information
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Contact Name
Contact's Relation to Student
Contact Phone Number
Contact Email
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6
Class Selection
*
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Mini Class (3-5) - Tuesday 3:30pm
Mini Class (3-5) - Thursday 3:30pm
Juniors Class (6+) - Monday 4:20pm
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7
Please verify that you are human
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