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SALT Playhouse Event Registration

(Please check all that apply)​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

Parent Information

Child's Information

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(Please check all that apply)​​​​​​​​​​​​​​​​​​​​​
If you were referred by a friend or colleague, please share their name with us.​​​​