Autism Movement Therapy Registration Form: Teens/Adults 13+, Hammonton, NJ
 
MUST BE 18 YEARS OR OLDER TO COMPLETE THIS FORM
SEX

THE FOLLOWING IS REQUIRED IF PARTICIPANT IS UNDER 18. IF YOU ARE REGISTERING YOURSELF FOR THIS CLASS, YOU MAY PUT YOUR OWN INFORMATION IN OR YOUR PARENT'S INFORMATION.

Attention: Your spot will not be secured until you pay for the class *

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~Sam