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May River Montessori 60 Calhoun Street, Bluffton SC 29910 T: (843) 757-2321 F: (843) 757-4374
AFTER-SCHOOL DRAMA CLASSES AND PUBLIC SPEAKING CLASSES
WITH BETH GREEN, MRM DIRECTOR OF MUSIC
R E G I S T R AT I O N F O R M
Today’s Date
Child #1 Date of Birth & Age
Child #2 Date of Birth & Age
Child #1 Full Name
Child #1 Full Name
Parent/Guardian Name(s)
Address
Email address (I will never SPAM, or share your email address with others!)
Home Phone Number
Emergency contact
Phone #
Relationship to child
Allergies? Please detail here
Parent/Guardian’s Signature
Please print Parent/Guardian’s full name
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