IIMF Middle School Registration Tour of the Des Moines Art CenterSaturday, April 18, 202610:00 am–12:00 pm Des Moines Art Center 4700 Grand Avenue Des Moines, IA 50312

Student Name

First Name

Last Name

Student Email Address (noname@noname.com)

Student Phone Number (xxx-xxx-xxxx)

Gender

School

Graduation Year

If you picked "other" for Middle school, please enter the name below.

Parent/Guardian Information

First Name	Last Name
Phone Number (xxx-xxx-xxxx)	Email (noname@noname.com)