Culture School Registration, Fall 2024
Pre-K - 12th Graders and Parents
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Your Name
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First Name
Last Name
Your E-mail
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Phone Number
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Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Number of Parents Registering
*
One
Two
None
Parent Fees
$'s
Parent 1
*
First Name
Last Name
Parent 1 E-mail
*
Parent 2
*
First Name
Last Name
Parent 2 E-mail
*
Number of Children Registering
*
One
Two
Three
None
Child Fees
$'s
Child 1
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Grade
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
at start of culture school
Child 2
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Grade
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
at start of culture school
Child 3
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Grade
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
at start of culture school
Special Needs, Food Allergies, Other Comments
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Culture School - Fall 2024
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