• PCA Class Registration

    A separate registration form must be completed for each participant and for each individual class.
  • STUDENT INFORMATION:

    (One student per form)
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    Pick a Date

  • PARENT/GUARDIAN (1) CONTACT INFORMATION:


  • Parent Guardian (2) Contact Information

    (only need to fill out if another parent/guardian wants to receive all emails and Remind messages)
  • (#1) : ALTERNATE PICK/UP & RELEASE

    Please list any persons you authorize to pick up your child other than Parent/Guardians previously listed. ID required & must match the designated pick-up.
  • (#2) ALTERNATE PICK/UP & RELEASE

  • Terms of Agreement: Photo Release

    I hereby give permission for my child to be photographed during the PCA class. I understand the photos will be used to keep a journal of activities, to share during power point presentations and/ or reports to our donors and for promotional purposed including flyers, brochures, newspaper and on the internet. His or her identity will not be disclosed.
  • Signature Required:

    **Pepperell Community Arts is not responsible for lost or damaged personal property. All events are subject to change.
  • Clear
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    Pick a Date
  • Should be Empty:
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