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Group Class Registration

All fields marked by asterisk ( * ) are required.


REFERRAL INFORMATION
How did you hear about us?*

       


CLASS INFORMATION


Please click HERE for the class Schedule
Class Type*:
       


Class Day*                             Class Time *                  Starting Date*
       
STUDENT INFORMATION
Student's Last Name*             First Name *                  Birthday*
       
Gender*:
Male        Female
FAMILY INFORMATION
Mother's Last Name*                First Name*
        
Email address*                        Work #
        
Cell # *



Father's Last Name*                Father's First Name*
        
Email address*                        Work #
        
Cell # *



Home Address Line 1*
City*                                         State*          Zip*


Home #
KWAN MUSIC STUDIO GROUP MUSIC AGREEMENT



I AGREE TO ALL THE ABOVE
Enter Your Full Name*
        







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