2026 JCl Sound Baths Registration May-July Form 5 week

Sound Bath Class
Student Information
Student Name*

First NameLast Name
Date of Birth

MonthDayYear
Date
Gender

MaleFemale
Phone Number*
Format: (000) 000-0000.
Email Address*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Registration fee is $40 per student.
Does the student have any disabilities, illness, medical conditions, personal problems, etc. that can affect his/her class?
Others
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Student Signature
Date Signed

MonthDayYear
Date
My Products
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Student enrolled
Teacher - Meesha Joy 5 Week course - Every Friday starting May 8th - June 5th. $40 a student. Class time 12pm-1:15pm.

$40.00 Quantity
Item subtotal:$0.00

Total

$0.00
Should be Empty:

Sound Bath Class