Charter Student / Request Form
Please note you will need qualified funds from your advisor, otherwise you will be fully responsible.
Student Name
*
Phone Number
*
Please enter a valid phone number.
Day
/
Month
/
Day
Year
Date
Email
*
example@example.com
What is the name of your Charter School?
*
What grade are you in?
*
6th
7th
8th
9th
10th
11th
12th
Name of Advisor
Special request
Course Selection
*
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( X )
Songwriting Course
Lyrics/Recording Song
$
745.00
Recording Production
Hands on Engineering
$
510.00
Beat Making Course
Creative Expression
$
255.00
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