EMERGENCY CONTACTS (to be used only if parents cannot be reached)

Contact #1

Contact #2

Your spot in the class will only be held when this form is submitted AND your non-refundable $100.00 registration fee is paid.

If you have any questions, please call 503.649.3380.

BEFORE YOU CLICK “SEND” YOU MUST PAY THE REGISTRATION FEE BY CLICKING THE PURPLE BUTTON BELOW!!

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