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Workshop
Workshop Type: 
Be Musicals Group D: Ages 7 & 8 Sundays 1-3 pm
Contact Information
Student's Name: 
Milly
Student's Address: 
46
City: 
64
State: 
ME
Zip Code: 
21
Primary Phone: 
70
Parent 1 Name: 
Anja
Parent 1 Email: 
ukbugcv1977@yahoo.com
Parent 2 Name: 
Tori
Parent 2 Email: 
ljjgacz1985@hotmail.com
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Emergency Contact Name, Relationship, and Phone 2: 
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Student Information
Student's Birth Date: 
10/09/2109
Student's Current Grade: 
10
Student's Special Needs or Considerations : 
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Community Service Participation?: 
No
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