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(Submit this form to guarantee your spot)
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Student Name
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Age
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Gender
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Girl
Boy
Parent's Name(s)
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Email
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Mobile
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Classes
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Wednesday 10:00am Mixed-Age Class (Begins 06/20)
Wednesday 11:00am Group Piano (Begins 06/20)
Saturday 9:30am Group Piano (Begins 06/23)
Saturday 10:30am Mixed-Age Class (Begins 06/23)
* Please bring your payment on the first day of the class.
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No refunds or credits will be given for missed classes.
* No refund will be available after 2nd class.
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Class credit rollover to the next semester or school year is not an option.
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No photography or videotaping is allowed within the classrooms so as not to infringe upon the privacy of others.
* No food or drinks are allowed in the classroom
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
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