erin@guiltnercreative.com
Class Registration Form
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indicates required fields
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Child's Full Name:
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Parent's Full Name:
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Address:
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Telephone Number:
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Email Address:
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Child's Birthdate:
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Class Day/Time:
Imagine That Tuesday 9:30
Our Time Tuesday 10:30
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Payment Method:
Credit Card/Paypal (submit this form, then go to the payment page.)
Check
Who referred you to Guiltner Creative Studios?:
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Emergency contact name:
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Emergency contact phone number:
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I have read and agree with the class policies.:
Please check the box to agree.
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I am enrolling for the full session.:
Please check the box to agree.
Guiltner Creative Studios
phone 405-443-8590 ~ email
erin@guiltnercreative.com
