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LOLART
SCHOOL / Online Registration 2012
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| Please
fill in all fields marked with a * |
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Student
Name |
* |
| Age |
( if under 18 ) |
| Tel |
* |
| Address |
* |
| Postal
Code |
* |
| Email |
* |
| Medical
Conditions Allergies |
* |
| Emergency
Contact Name and TEL |
* |
| Location |
* |
| Course
Code |
Click
here to check Course Code,or leave it blank and we can help to choose |
| Prefered
Time |
(for KA***,PA***,
SC*** Portfolio Classes only) |
| Camp
Dates |
(For Camp registration only ) |
| Half
Day or Full Day |
(For Camp registration only ) |
| Drop
off Time |
(For Camp registration
only ) |
| Pick
up Time |
(For Camp registration only ) |
| Other
Notes to LOLART |
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* By register
online I acknowledge that I understand and agree to abide by the policies
and rules as contained herein : |
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| Parent
Guardian Name |
* |
| Date |
* |
| How
did you hear about LOLART program |
* |
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