Ukulele Club Registration
This form will register your student to learn to play ukulele with Mx. Lindz! This activity will take place from 3:00pm to 4:00pm on Mondays starting March 17th and runs for 6 weeks.
Student Name
First Name
Middle Name
Last Name
Grade
Please Select
First
Second
Third
Fourth
Fifth
Sixth
Your E-mail
example@example.com
Who will be picking up your child from school clubs?
First Name
Last Name
Phone Number
Please enter a valid phone number.
Emergency Contact
First Name
Last Name
Emergency Contact Number
Please enter a valid phone number.
Signature
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Should be Empty: