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SEAN FIETJE ARTIST

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January School holiday programme Enrolment Form

Thanks for enrolling your child in the School Holiday Art Programme.

Please fill in the enrolment form below at your earliest convenience.

First name

Last name

Age

Gender

Boy

Girl

Parent/Caregiver Name

Parent/Caregiver Phone Number

Parent/Caregiver Email

Emergency Contact Name

Emergency Contact Phone Number

Are there any medical conditions you would like me to be aware of (e.g. allergies)?

Any other relevant info you would like me to know about your child (e.g. art experience, temperament).?

Thanks very much!

Sean

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