Aug 12 & 13 - 4200 W. Diversey Ave., Chicago

What is the full name of the person being registered? * Maximum of 150 characters

What is the age of the person being registered? (Registrant must be between 12 and 15 years old.) * Maximum of 3 characters

This course will involve loud noises, physical contact, and full, ambulatory usage of arms, legs, hands, and feet. Are there any accommodations you'd like to discuss in order for the registrant to fully and safely participate? * *

Aug 12 & 13 - 4200 W. Diversey Ave., Chicago

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