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Creative Movement for Children

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* 1. Guardian(s) Name(s) and Phone number(s)

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* 2. Child’s Name(s) and age

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* 3. Emergency Contact Information

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* 4. Please share any important or relevant information with us you wish to share.

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* 5. Guardian(s) e-mail

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* 6. Please send your payment of $240 to PayPal at dance_monks@yahoo.com (as a friend) or Venmo @Mirah-Moriarty to finalize your registration.

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