WEEKLONG LESSONS REGISTRATION FORM

 

Return form & payment to Brenda Messick by May 1, 20        .

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Name                    Age                 Address            City           State       Zip              Phone

Parents’ names:                                                                                                         

 

Lesson Dates:       Preference 1:                            Preference 2:                              

(Lesson weeks will be combined if a week should not fill up, therefore we need your 2nd choice.)

T-SHIRT SIZE:  child                    adult                  SM                 MED                LG                   X-LG                

 

 

 

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