Membership Enrollment

1
Name
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Last Name
2
Phone Number
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3
Email
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4
Acknowlegement of Terms and Release of Liability

I will receive a recurring invoice and submit payment for dues each month unless I enroll in automatic monthly payments.

Special events and performances may be offered periodically. I agree to participate in special performances and to supply my own uniforms, supplies, and transportation as needed.

I give my permission to Maui Music Mission to record images of me, and to post those images on social media and other platforms for the promotion of Maui Music Mission. I further agree to hold Maui Music Mission harmless of any and all liability or damages associated with my enrollment in the program.

I acknowledge and accept the terms and conditions for enrollment in Maui Music Mission
5
SignatureI Acknowledge and agree to the Terms of Enrollment
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ORDER SUMMARY
Total costUSD
Membership2x a week of 45 minutes1st. Classes start at 4:30pm-5:15pm2nd. Classes start at 5:15pm-6:00pmMonday through Thursday.
$179.00Edit
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Membership- Once a wweekOnce a week of 45 minutes
$129.00Edit
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