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* 1. Names of All Possible Participants (Adults AND Children):

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* 2. Child(ren)’s Date of Birth:

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* 3. Parent/Guardian Email(s) for School Communication:

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* 4. Which Family Class(es) Would You Like to Attend? [$345 for all 11 classes OR $38/each] Select All That Apply:

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* 5. Payment Options:

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* 6. I am interested in your other programs:

Thank You so much! We will be in touch shortly. If you have questions, please call/txt 541.272.9086.

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