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SARAH RIDOUT MERRY

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KIDS REGISTRATION FORM

*First name

*Last name

Birthday

*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

*Payment

NATURE CALLSCA$270

POP GOES THE EASEL CA$270

SEASONAL EYE CANDY CA$135

Product

Product 1CA$0

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