Registration The Refined Teen – Youth School of Etiquette

Registration

Child #1 Name

Age

Gender

Grade

Child #2 Name

Age

Gender

Grade

Child #3 Name

Age

Gender

Grade

Child #4 Name

Age

Gender

Grade

Child #5 Name

Age

Gender

Grade

Parent's Name

Parent's Email

Parent's Phone

Address

City

State

Zip

Goals for your child in taking this course:

I give The Youth School of Etiquette & Decorum the permission to use photos and videos of my child for promotional purposes.

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How did you hear about us?

Payments on the next page.