Fall Academy Registration
Moonlight Academy Registration Form
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Student Name *
Age (Grade they will be entering in the Fall) *
Which Classes are you Registering for?
Do you have a scholarship/credit for the Academy?
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Name of Parent/Guardian (If participant is under 18 years of age)
Contact Info - Email *
Contact Info - Phone# *
Address *
Payment Info - We will send a confirmation of registration to the provided email. You may pay electronically via VENMO (@moonlightmusicals) or you may pay by check (made out to Moonlight Musicals) and mailed to 2806 Ave. A Lubbock, TX 79404. *
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