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Private Summer Class
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Private Summer Class
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To Register
Private Summer Class
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3
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Parent Information
Parent / Guardian Name
(Required)
Parent / Guardian Phone Number
(Required)
Parent / Guardian Email
(Required)
Child Information
How many children are you registering?
(Required)
1 Child
2 Children
3 Children
4 Children
5 Children
Child's Full Name
(Required)
Second Child's Full Name
(Required)
Third Child's Full Name
(Required)
Child Age
(Required)
4
5
6
7
8
9
10
11
12
13
14
15
Second Child's Age
(Required)
7
8
9
10
11
12
13
14
15
Third Child's Age
(Required)
7
8
9
10
11
12
13
14
15
Current Piano Level
(Required)
Beginner
Intermediate
Advanced
Second Child's Current Piano Level
(Required)
Beginner
Intermediate
Advanced
Third Child's Current Piano Level
(Required)
Beginner
Intermediate
Advanced
Address
Does your child have any medical conditions, allergies, or special requirements?
(Required)
Yes
No
Please provide details about the medical issue or allergy
Sessions Information
Select Number of Sessions
(Required)
1 Session
2 Sessions
3 Sessions
4 Sessions
5 Sessions
Private Summer Class Payment
(Required)
Price:
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