1. Girotondo ! Italian Class for Children
  2. Child's Name(*)
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  3. Birthdate(*)
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  4. Sex(*)
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  5. Any physical, medical or other issues of which the teacher should be aware, including allergies
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  6. If YES, please explain
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  7. Parent's First Name(*)
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  8. Parent's Last Name(*)
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  9. Email address (very important)(*)
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  10. Cell Phone(*)
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  11. Home Phone
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  12. Emergency Contact Phone Number (if parents cannot be reached) (*)
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  13. PROGRAM SELECTION
  14. Program Selection Options
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  15. Fee includes class material and a personal binder where child can collect his/her Italian class work
  16. I am not a Robot(*)
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