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Register For Our Camp

Student Name

Student Age

Parent's Name

Email

Phone

Emergency contact #1: Name, Relationship, and Phone Number

Emergency contact #2: Name, Relationship, and Phone Number

Who will be dropping off and picking up your child each day?

Are there any known food allergies foryour child? If yes, please explain

Is there any other important information that we should know about your child?

I grant Union Street Arts permission to use photographs and videos from the camp on social media

Thanks for registering to our event. See you there!

unionstreetarts@gmail.com Tel: 618-422-8868

United States

© 2022 By Union Street Arts LLC

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