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8p. July 27-30, 12:00-2:00pm, Purple pm

Price: $150.00

11 spots left
Item Number: Grades 7-12
tax free

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Student Name*
First
Last
Grade in the Fall
Male or Female*
Taken Classes at Studio Virtu before?*
Parent(s) Name
Phone Number in case of emergency*
Phone #1 belongs to:*
Can Phone #1 receive text messages?*
Alternate number in case you can't be reached*
Phone #2 belongs to:*
Can Phone #2 receive text messages?*
Parent email to use for contact*
Address*
Street
City, State
zip code
If possible I would like to sit by:
Friend #1
Friend #2
*
Do you give Studio Virtu permission to use your child's photo on social media? ie. facebook, instagram, twitter, blog*
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