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SARAH RIDOUT MERRY
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KIDS REGISTRATION FORM
*
First name
*
Last name
Birthday
Month
*
Permission to take photo y/n
*
Emergency contact 1, name, relationship, contact number
*
Emergency contact 2, name, relationship, contact number
*
Any allergies, medications or physical limitations?
*
Any mental specialities to provide the best support (ie., anxiety, ADHD, OCD)
*
Choose your session:
NATURE CALLS Tuesdays, Sept 10-Oct 15
POP GOES THE EASEL Tuesdays, Oct 22 - Nov 26
SEASONAL EYE CANDY Tuesdays, Dec 3 - 17
3 CLASS PASS (ANY 3 CLASSES, ROOM PERMITTING)
*
Payment
NATURE CALLS
CA$270
POP GOES THE EASEL
CA$270
SEASONAL EYE CANDY
CA$135
3 CLASS PASS
CA$135
Product
Product 1
CA$0
Submit
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