Client Policy Agreement
Last Updated 08/28/2020
* Required
Parent or primary adult contact
Please provide the following information about the primary adult contact.
First name
*
If you use an alternative first name, please include it in parenthesis after your full legal first name.
Your answer
Last name
*
If you use an alternative last name, please include it in parenthesis after your full legal last name.
Your answer
Email address
*
If you have already signed up for a ClassMate (Pike13) account with us, use the same email address.
Your answer
Which of our family of services are you enrolling in at this time?
*
Please check all that apply.
music lessons
dance lessons
music therapy
Required
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