UMMA Online Registration

Child First Name
Child Last Name
Child Birthdate
MM slash DD slash YYYY
Grade
- My child has allergies, medical, and/or special needs
Please Explain
Parent Full Name
Address
City
State
Zip Code
Email
Home Phone
Emergency Person
Emergency Phone
Registration Type
- Early Bird (through 1/15) $100
- Museum Member $110
- Regular $125
Method of Payment
- Cash (will deliver in-person)
- Check (pay to Museum of Art, send to 40 Harlow St., Bangor ME 04401)
Comments
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