Student’s Name

Parent/Guardian’s Name

Street Address

City

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Student’s Birthdate

Student’s Age

Type of Lessons Type of Lessons Piano Violin/Viola Cello Guitar Flute Singing/Voice Art Class Ballet Jazz Tap Ballet/Tap Adult Ballet Adult Jazz Ballroom Dance Contemporary/Hip-Hop Acting/Theatre/Musical Lakeside Charter Art Class Lakeside Charter Musical Theatre West Lake Preparatory Musical Theatre West Lake Preparatory Art Classes West Lake Preparatory Dance Woodlawn Extended Day Art Woodlawn Extended Day Dance Woodlawn Extended Day Violin Woodlawn Extended Day Keyboard Summer Camp Bob Ross Class

How Long? How Long? 1/2 Hour 45 Minutes 1 Hour

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