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CY & Friends Application Form
Please submit your application using this form. If you need to reach us immediately please call or text 510-672-2486
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Parent/guardian email address (if applicant is under 18)
Your answer
Phone number (cell preferred)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Referral (how did you learn about this festival)
*
Your answer
Demo (skip if you worked with Eugene Chukhlov before)
Please submit a link to YouTube video, or text it to Eugene at (510) 672-2486.
Your answer
Instrument Played
*
Your answer
Interested in:
*
Junior program (11 am - 2 pm)
Senior program
Extra Private lessons
Required
Do you need financial assistance?
Limited financial assistance may be available
Yes
No
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