Jubal Arts Center Registration for 2020/2021
Please complete the following information. You can pay your fees via E-Giving(easiest) or bring your registration form(see your email) and payment to East End Baptist Church(by appointment only at jubalartscenter.eebc@gmail.com)
FIRST NAME OF STUDENT *
LAST NAME OF STUDENT *
STUDENT/PARENT PHONE NUMBER *
PARENTS' NAME(IF APPLICABLE)
STUDENT'S ADDRESS *
EMAIL ADDRESS *
AGE OF STUDENT (IF UNDER 18)
BIRTH DATE *
MM
/
DD
/
YYYY
SCHOOL PRESENTLY ATTENDING(IF UNDER 18)
NAME OF SCHOOL MUSIC TEACHER/DIRECTOR
PHONE NUMBER/EMAIL OF TEACHER
WHAT INSTRUMENT(S) ARE YOU REGISTERING FOR LESSONS IN? *
Required
HAVE YOU STUDIED MUSIC BEFORE? *
IF YES, HOW LONG? *
Required
DO YOU OWN AN INSTRUMENT? *
FIRST PREFERRED DAY AND TIME *
SECOND PREFERRED DAY AND TIME *
Submit
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