Open Minds Program Registration -- Spring 2020
Student Name *
Your answer
Parent/Guardian Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Student's Birthday *
MM
/
DD
/
YYYY
Student's Pronouns *
Emergency Contact Name(s) and Phone(s) *
Your answer
Who has permission to sign the child out after classes? *
Your answer
Medical, Allergy or Other Info
Your answer
I understand that registration requires paying $40/student directly to Snellville Performing Arts (SPA) prior to class start. This fee is in addition to class fees (paid individually to each teacher). Payment information for SPA will be provided approximately 1 week before the term begins. I agree to pay the $40/student promptly. *
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