September Class Selection Form

September Class Selection Form

Enlightened Minds Vendor Campus
Student Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
MONDAY Vendor Campus
Private Music Lesson (8:00am-11:30am and 12:00pm-2:00pm)
Monday Morning (~10:00am)
Monday Afternoon (12:00pm)
TUESDAY Vendor Campus
Tuesday Early Morning (9:15am)
Tuesday Morning (~10:00am)
Tuesday Afternoon (12:00pm)
Tuesday Late Afternoon
Bricks 4 Kidz: STEM Class (12:00pm-1:15pm) *INTEREST*
Additional Comments (For example - "drop in" and list class and date)
Should be Empty: