📖🖋️Private Classes Online  | Registration
Mrs. Prell's Educational Services

NEW or RETURNING FAMILIES: Please complete this REGISTRATION FORM to enroll your child for online classes with Mrs. Prell.

Complete one form per child.

PRIMARY CONTACT / RESPONSIBLE PARTY: Please complete the information below to enroll your child for private (1:1) lessons during the school year or summer.
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Email *
First Name: *
Parent or Guardian
Last Name: *
Parent or Guardian
Relationship to Child(ren) *
Address: *
Number and Street
City: *
Zip Code: *
Mobile Phone: *
Where you can best be reached
EMERGENCY CONTACT
Emergency Contact's Name *
Emergency Contact's Relationship to Child(ren) *
Emergency Contact's Phone Number *
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