Open Minds Program Registration -- Spring 2020
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Student Name *
Parent/Guardian Name *
Phone Number *
Email Address *
Student's Birthday *
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DD
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Student's Pronouns *
Emergency Contact Name(s) and Phone(s) *
Who has permission to sign the child out after classes? *
Medical, Allergy or Other Info
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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