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Southern Enterprise School of Arts

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Character, Integrity, & Discipline Through The Arts

Classes at 291 E. 222nd St., Euclid, Studio 258 * Required

Ballet/Interpretive Dance

Photography Class

Videography Class

Select Class Day/Time * Required

Tues, 5pm-7pm

Sat. 2pm-5pm

Student's First Name

Student's Last Name

Date of Birth

Age

Sex * Required

Male

Female

Race * Required

Black

White

Hispanic

Other

Parent's FirstName

Parent's LastName

Parent's Cell

Parent's Email

Street Address

City

Region/State/Province

Postal / Zip code

Father's FirstName

Father's LastName

Father's Cell Phone

Father's Email

Grandmother's FirstName

Grandmother's LastName

Grandmother's Cell Phone

Grandmother's Email

Other Guardian FirstName

Other Guardian LastName

Other Guardian Cell Phone

Grandmother's Email

Parent Signature

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