Registration Form: Build Your Own Ukulele Kit (July)
Please complete the following registration form to sign up for one of our July At Home Music Kits!

If you are registering more than one child, please complete ONE FORM PER CHILD.
PARTICIPANT INFORMATION
First Name *
Last Name *
Birth Date: *
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PARENT / GUARDIAN INFORMATION
First Name: *
Last Name: *
Phone Number: *
Email Address: *
BUILD YOUR OWN UKULELE KIT
Level Requested: *
Pick Up Date Requested (190 Lester St, Waterloo): *
My child is interested in joining the online group meeting at the end of July to share their creation! *
ADDITIONAL AT HOME MUSIC KITS
If you have other children who are not registered for lessons, but are interested in a Build Your Own Ukulele Kit, please indicate below. We will be in touch to confirm availability.
Please list full names and ages of children interested in additional kits:
Parent / Guardian Signature: *
Date: *
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