Summer 2013 CLASS REGISTRATION FORM
The Music School
Presbyterian Church of Sunnyvale
728 W Fremont Ave,
Sunnyvale, CA 94087
Personal Information
Red-highlighted fields are required
*
If you are requesting general information or want to contact the office, please call 408-739-9248.
Or, check "Proceed with Registration" to continue.
PROCEED WITH SUMMER 2013 REGISTRATION
*
Student's First name
*
Student's Last Name
*
Sex
M
F
*
Birthday
(mm/dd/yyyy)
*
Grade
(Fall 2013)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
*
First time at
The Music School?
yes
no
*
Has anyone in your family
ever
attended The Music School?
Yes
No
How did you hear about
The Music School?
another student
searching the web
a teacher
other
*
Parent's First name
*
Parent's Last Name
*
Email Address
*
Please retype email
List allergies of student
*
Street Address
*
City
*
ZIP
*
Home Phone Number
Work Phone Number
Cell Phone
*
Name of Emergency Contact
*
Emergency Phone Number
*
CLASS REGISTRATION FEE
Summer Session Registration Fee, $20.00
I have paid the annual registration fee
*
I have read and
accept the registration
information terms
and conditions.
YES
NO
*
Indicates Response Required
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