Amigos to Amiguitos Club Registration

Thank you for your interest in registering for the Amigos to Amiguitos Club with the Moab Valley Multicultural Center!

Student Info

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Parent/Guardian Info

Please let us know your name.

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Please let us know your email address.

Please write a subject for your message.

Emergency Contacts

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Important Student Information

Please reply to all questions below.
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*Please note that MVMC staff are unable to dispense ANY medication due to our liability insurance.
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Authorizations

Please read and initial the following releases. Include your signature at the bottom of the page.
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Thank you for submitting your registration to Moab Valley Multicultural Center!