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Online Registration
Online Store
Home
About Us
PRIVATE SCHOOLS
Programs
Benefits of Music
Contact Us
Donate
Apply Now
New Page
Sign-up Below
ONLINE FORM
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Indicates required field
Student Being Enrolled: Name
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First
Last
[object Object]
Email
*
Birthday
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Please indicate the Day and Time you are available to meet for Virtual Lessons
Age | Grade Level | T-Shirt Size
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Selecting one of the following Instruments you'd like to Play
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Summer Camp
Music Lessons
Tutoring
Address
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Line 1
Line 2
City
State
Zip Code
Country
Parent/Guardian Information
Name
*
First
Last
[object Object]
Email
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Cell Number
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Home Number
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Emergency Information
Emergency Contact's Name
*
Phone Number
*
Relationship
*
Alt. Phone Number
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[object Object]
If you or the child you are registering have any Food
allergies
, chronic illness, disabilities, or medical conditions; Please indicate in the description box below.
Student will be required to bring a lunch if necessary. (Camp will provide snacks and light refreshments for breakfast). Please state if your child has an IEP.
Describe
*
Photography Consent
I give permission and consent to allow photographs to be taken during camp/regular session activities. I further give permission and consent that any such photographs may be published and used by the Trebal Music Program or "All That Drama" to illustrate and promote the Program experience.
Name
*
First
Last
Select a Service | You will get an email with instructions for payments after your form is submitted |Pricing is available on our ONLINE STORE tab
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SUMMER CAMP
I am interested in group lessons ONLY
I Am Intrested in Tutoring ONLY
I agree to receiving marketing and promotional materials
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SUBMIT FORM