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* 1. Your child's name (First and Last)

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* 2. Grade your child will be in during the 2019/20 School Year (open to children in grades Kindergarten through Junior High School)

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* 3. Would your child preferred to be paired with a boy or girl student (requests will be filled to the best of our ability)

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* 4. Please share your interests with us: sports, music, art, dance, etc. (We will try to pair children with like interests to the best of our ability.)

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* 5. Which address would you like to use for correspondences?

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* 6. Are you interested in learning more about Allegro's programming for both children and adults?

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* 7. Name of Parent or Guardian

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* 8. Email address for Parent of Guardian

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* 9. Comments

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