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ARCHANGELS' CRETAN DANCES
2019-20 Registrations
Important Note
The information you provide about your children will remain confidential. If there is something we need to know about your children, please inform us in the box "
SOMETHING ELSE WE NEED TO KNOW?"
.
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ALL FIELDS WITH A STAR * ARE MANDATORY AND MUST BE FILLED OUT
TO LEAVE A MANDATORY FIELD BLANK, PLEASE WRITE "N/A" OR " - "
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*
Indicates required field
Mother's Name
*
First
Last
Mother's Email Address
*
Mother's Cell Phone Number
*
Father's Name
*
First
Last
Father's Email Address
*
Father's Cell Phone Number
*
Address
*
Home Phone Number
*
1ST CHILD'S NAME
*
2ND CHILD'S NAME
*
3RD CHILD'S NAME
*
AGE
*
5
6
7
8
9
10
11
12
13
14
15
16
17
17+
AGE
*
5
6
7
8
9
10
11
12
13
14
15
16
17
17+
AGE
*
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
17+
SOMETHING ELSE WE NEED TO KNOW?
*
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