KPC MUSIC CLASS REGISTRATION: CURRENT/RETURNING STUDENT

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$70.00

$55.00 - $70.00

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NAME (First, Last) *

AGE *

BIRTHDATE (mo/dd/yy) *

STREET ADDRESS *

CITY *

STATE *

ZIP CODE *

PHONE NUMBER *

E-MAIL ADDRESS *

IS THIS A DROP-IN? ($15 Drop-in for Song and Dance $20 for Digital Music) YES NO

ARE YOU INTERESTED IN JOINING THE COMPANY TEAM? YES NO

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