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* 1. Child's Name 

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* 2. Child's Age 

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* 3. Parent's Name

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* 4. Phone Number

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* 5. Email Address

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* 6. Questions/Comments:

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* 7. I understand that I should bring a $10 fee for supplies at 1:00 p.m. on Saturday, December 1, to the Lawrence House Centre for the Arts.

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