ALMA MATER STUDIO STUDENT REGISTRATION FORM 2020-2021
REMOTE LEARNING IN THE FALL 2020 (some private lessons available in person)
Our address: 442 Marrett Road, Suite 7, Lexington, MA 02421
www.almamaterstudio.org
Please contact us if you have any questions: info@almamaterstudio.org or 781.325.8285.
Email address *
Child's First and Last Name *
Russian Spelling of your Child's Name (if taking Russian language classes)
Child's Date of Birth *
MM
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DD
/
YYYY
Child's grade
Address *
Health/Allergy description
Parent One *
Email *
Daytime phone number *
Parent Two *
Daytime phone number *
Email *
Emergency contact, other than parents (Name and Phone number) *
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