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Enrichment Enrollment Form
Date of Birth
School (Attending in the fall)
Grade (In the fall)
Which program does your child want to join?
After School Program
Summer Arts Program - Week 1, June 25th through June 29th, 2018
Summer Arts Program - Week 2, July 7th through July 13th, 2018
Summer Arts Program - Week 5, July 30th through August 3rd, 2018
Has your child ever played a musical instrument before?
If so, which one?
How did you hear about this program?
Address Line 1
Address Line 2
✍ Parent/Guardian Authorization
All information in this application is accurate to the best of my knowledge.