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Community Cultural Activity Program Form
Organization Name
*
Contact Person
*
Street Address
*
{name}
Email Address
*
Phone Number
*
Number of students
Grade
Room #
Please check activity/activities of interest:
Chinese Painting (6th Grade +)
Chinese Lesson
Chinese Calligraphy (5th Grade +)
Chinese Paper Crafts (K +)
*Special Event/ Workshop /Other (please describe)
Monday
Select an option
Wednesday
Select an option
Friday
Select an option
Thursday
Select an option
Tuesday
Select an option
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