Student Name *

First Name

Last Name

Parent or Guardian Name *

First Name

Last Name

Phone *

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Class(es) of Interest *

Please select all classes you are interested in. If you are interested in private lessons, please select the Private Lessons option as well as your particular class(es) of interest.

Preschool Classes

Beginner (6-10 Years Old)

Intermediate

Novice & Up

Prizewinner/Champion

Performance Team

Private Lessons *Please also select your particular class(es) of interest

Name on Card: *

First Name

Last Name