CLASS SOURCE OF TAMPA, INC.

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director@class-source.com

(813) 444-3920

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Parent Contact & Info Form

(Note: If you have not yet registered your student(s) for classes, please do that first!)

Parent/Emergency Contact Info

Parent/Contact Name

Phone

Email

Relationship to the Student(s)?

Will a parent or guardian be staying on campus with your student(s)?

Enrolled Student(s) Names and Ages

Do any of your enrolled children have any allergies or medical concerns you'd like us to be aware of? Please specify below.

Backup Contact/Who to call if we can't reach you?

Thanks for submitting!

director@class-source.com

(813) 444-3920

Physical location: 19501 Holly Ln, Lutz, FL 33548, USA Mailing address: 14806 Tulip Drive, Tampa, FL 33613

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