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Dharma's Garden Spring Afternoons
Application Form
 

Please complete a separate application for each child. An adult/guardian will also have to sign a LIABILITY WAIVER and PHOTO RELEASE for their family on the first day of the program.

GROUP 1: 5-week session, TUESDAYS, 4:00pm to 6:00pm, 4/27 to 5/25/21

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First Name
Last Name
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(mm/dd/yyyy)
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country

First Name
Last Name


*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
*
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First Name
Last Name
*

*
*
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GROUP 1 (Tuesdays)
GROUP 1: Every TUESDAY, 4:00pm to 6:00pm. 4/27 to 5/25/21
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