Trial Period Enrollment Information
Cleveland Junior Tamburitzans
Parent Contact Information
During the trial period, we ask for basic contact information. If you become an official family and confirm official enrollment, you will complete an Application Form.
Please select all that are applicable.
*
Mother
Father
Mother's Information
Mother's Name
*
First Name
Last Name
Mother's Email
*
example@example.com
Mother's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Father's Information
Father's Name
*
First Name
Last Name
Father's Email
*
example@example.com
Father's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student's Information
Student Name
*
First Name
Last Name
Student's Gender
*
Male
Female
Student's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Starting Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Please select the starting date in which this student began attending practice.
Is this student in the second grade or higher?
*
Yes
No
Save
Submit
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