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Rebecca Brown -- Piano
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Little Mozarts Class Registration
Little Mozarts Tuition - Full Payment
$
175.00
Please contact the studio if you wish to set up a monthly payment plan.
Complete this form to register for Little Mozarts Class
*
Indicates required field
Child's Name
*
First
Last
Age
*
3
4
5
Select The Class of Your Choice
*
Fall 2019: Wednesdays @ 12:30
Fall 2019: Thursdays @ 12:30
Option 3
Spring 2020: Thursdays @ 12:30 (Level One)
Spring 2020: Fridays @ 12:30 (Level Two)
Parent's Name
*
First
Last
Email
*
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Does this student have any allergies or medical issues that we should be aware of?
*
Please describe any learning delays or behavioral issues that the instructor might wish to be aware of.
*
Submit