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KPC MUSIC CLASS REGISTRATION: NEW/FIRST TIME STUDENT -
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Friday, 8 to 9PM | DIGITAL MUSIC (Open Level) with Jose
Sunday, 3 to 4PM | SONG & DANCE (Open Level) with Albee
BY SUBMITTING THIS CLASS REGISTRATION ONLINE, I AGREE TO THE WAIVER, MEDIA RELEASE, SIGNATURES, CONSENT, AND AGREEMENT BELOW:
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I AGREE
ARE YOU INTERESTED IN JOINING THE COMPANY TEAM?
YES
NO
NAME (First, Last)
*
PARTICIPANT AGE & BIRTHDATE
*
Maximum of 1000 characters
CITY
*
STATE
*
ZIP CODE
*
PARTICIPANT PHONE NUMBER
*
Maximum of 1000 characters
E-MAIL ADDRESS
*
BIRTHDATE (mo/dd/yy)
*
STREET ADDRESS
*
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