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Preview Class Booking Form
(Submit this form to guarantee your spot)
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Indicates required field
Student Name
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Birthday: mm /dd /yyyy /Age
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Gender
*
Girl
Boy
Parent's Name(s)
*
Email
*
Mobile
*
Home Phone
*
Mailing Address (including city/zip)
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Select class(es) below.
Preview Classes:
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4/1/2017 Saturday 10:00am (Ages 3-4)
4/1/2017 Saturday 11:30am (Ages 1-3)
4/1/2017 Saturday 1:00pm (Ages 4-5)
Preview 當天試上
報名春季班
的家庭, 可享學費$20減免的優惠
Receive $20 off the tuition fees if you register right after the Preview class
I release any and all rights and claims for damages against Mimi's Music Studio in the unlikely event
of injury sustained by myself
or my child as a result of this musical activity.
By submitting this form, you agree to the
class policies listed above
Submit