Summer Ukelele: Student Registration
Email address *
2019 Summer Session (4 weeks)
Fridays 7/12, 7/19, 7/26, 8/2 from 5-6pm.
Student Name: *
Your answer
Student Age: *
Your answer
Grade in 2019-20: *
Your answer
School: *
Your answer
Parent/Guardian Name: *
Your answer
Address (Street/City/State/Zip Code) *
Your answer
Phone Number: *
Your answer
Would you like to purchase a ukelele for an additional $40 fee? *
What color Ukelele would you like? (Options: Blue, Brown, Green, Pink, Purple)
Your answer
Comments/Questions:
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A copy of your responses will be emailed to the address you provided.
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