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Complete the following form to register for ACT
and mail it with your registration fee back to:
Milledgeville - Baldwin County Allied Arts
201 North Wayne Street
Milledgeville, GA 31061
478-452-3950 or email
alliedarts@windstream.net
circle ONE
AGES:
6 - 11
Session I: Spring - March 16 - May 4, 3:00 p.m.
- 4:00 p.m.
AGES:
11 & up
Session II: Spring - March 16 - May 4 4:15 -
5:30 p.m.
Student's Name ______________________________________ Age _______
Phone # (home)___________________ email address:
___________________________
Parent's/Guardian Daytime or cell # ________________________
Address _____________________________________________
Parent/Guardian Name ______________________________
School ________________________
Date_____________ Fee paid:_____________
Signature of Parent/Guardian________________________________
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