AAC Youth Application
Ashford Arts Centre Youth Membership Application
Young Persons Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Mother/Guardian Name, Mailing Address *
Your answer
Mother/Guardian Phone Number
Your answer
Mother/Guardian Email Address *
Your answer
Father/Guardian Name, Mailing Address *
Your answer
Father/Guardian Phone Number *
Your answer
Father/Guardian Email Address *
Your answer
Father/Guardian Phone Number *
Your answer
Please check all classes you're interested in: *
Required
Are you interested in private music lessons? *
If so, do you wish to learn to play an instrument? If so, what instrument are you interested in?
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