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Prairie Music & Arts Spring Paper Mache Workshop
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Last Name of Student *
First Name of Student *
Home Phone *
Parent #1 First & Last Name
Parent #1 Phone (Celluar)
Parent #2 First & Last Name
Parent #2 Phone (Celluar)
Email Address *
Please select your preferred method of communication. *
Student's Date of Birth *
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Student's Age/Grade in Fall *
School Attending
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