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Gainesville Association for the Creative Arts

Registration Form

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Name of Parent or Guardian:

Address:


City, State, Zip:


Work and Home Telephone:


Child's Name:


Child's Date of Birth, Grade, and Age:


Please register my child/children for:

Course, Day, Time:


Course, Day, Time:


Course, Day, Time:


Course, Day, Time:


I enclose the workshop fee, plus the materials fee, if applicable, in the amount of $


Donation to the scholarship fund in the amount of $

TOTAL AMOUNT ENCLOSED: $

Full scholarships are available to students on free or reduced lunch. Call 352-378-9166 or 352-378-9138 for an application.

I understand that the health and safety of students will be considered at all times; I will not hold GACA, the School Board of Alachua County, the Gainesville Community Playhouse, or the Acrosstown Repertory Theatre responsible for accident or injury to my child. Children are expected to remain in the room with the teacher unless parents tell the teacher otherwise. Parents, we'd appreciate it if you would pick up your child on time. A late fee of $15 per 15 minutes late will be charged for consistent late pick-ups.

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Signature of parent or guardian and date signed

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