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I AM! YOUTH PROGRAM INTEREST FORM

Parent First Name

Parent/Guardian Email

Child/Children Ages

Child's Creative Interest: (Select all that apply) * Required

Theater

Art

Creative Writing

Fashion

Film

Music

Parent/Guardian Last Name

Phone

Child/Children Ages

Will you need pick-up transportatin for your child? *

Yes

Maybe

No

Select Tour below (Serious Inquiries Only)

State Availability in the additional details box below.

Any additional details about your child/children

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