New Customer Registration Form

SUNDAY WORKSHOP Class Registration Form
Customer Details:
Child Full Name*

First NameLast Name
Child Age*
Which workshop(s) are your registering for?

Instrument Lab: Rebel Squeezebox - June 1stJedi Training Camp - June 8th
Parent/Guardian 1 Full Name *

First NameLast Name
Parent/Guardian 2 Full Name

First NameLast Name
Phone Number*
E-mail*
example@example.com
Phone Number 2
Please enter a valid phone number.
Does your child have any allergies?*
Anything else you'd like us to know about your child?
How did you hear about us?*
Please Specify*
TUITION:

$40/workshop - parent participation

$45/workshop - drop-off

To confirm your registration you must pay the full tuition amount by zelle.

ZELLE: thenightingalefam@gmail.com
Feedback for us:
*Occasionally we will be taking photos and videos of class for promotion on social media and our website. If you do not want your child to appear in class media please let us know.*

*Please note that classes are non-refundable. In the event of an unexpected change or cancelation you may receive a credit towards a future class.*
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SUNDAY WORKSHOP Class Registration Form