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5
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1
Name
Full Name of Student
First Name
Last Name
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2
Ukulele Skill Level
Which class fits you best?
Beginners: Mondays 3:00 - 4:00pm
Intermediates: Mondays 4:00 - 5:00pm
Experts: Mondays 5:00 - 6:00pm
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3
Email
Parent/ Guardian
example@example.com
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4
Phone Number
Parent or Guardian Cel Phone
Please enter a valid phone number.
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5
Are You A Permanent Resident of Lahaina/ West Maui?
My family was displaced or affected by the disaster on August 8, 2023
YES
NO
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