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8
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1
Name
Full Name of Student
First Name
Last Name
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2
Email
Parent/ Guardian
example@example.com
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3
Phone Number
Parent or Guardian Cel Phone
Please enter a valid phone number.
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4
Were you displaced or traumatically affected by the fires on Maui?
My family was displaced or affected by the disaster on August 8, 2023
YES
NO
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5
Temporary Address
Temporary or permanent new address
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6
Select Your Music Class Schedule
Which classes fit you best?
Beginners: Every Wednesday 4:00pm to 6:00pm @ Royal Kahana
Intermediates/ Advanced: Every Wednesday 4:00pm to 6:00pm @ Royal Kahana
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7
Terms and Conditions
*
This field is required.
Please read and agree to terms
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8
Signature
Clear
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