CY & Friends Application Form
Please submit your application using this form. If you need to reach us immediately please call or text 510-672-2486
Parent/guardian email address (if applicant is under 18)
Phone number (cell preferred)
Date of Birth
Referral (how did you learn about this festival)
Demo (skip if you worked with Eugene Chukhlov before)
Please submit a link to YouTube video, or text it to Eugene at (510) 672-2486.
Junior Preparatory program (10 am - 2 pm)
Junior program (10 am - 3 pm)
Junior programs extended day (2 - 6 pm)
Extra Private lessons
Interested in lunch:
Yes (9$ per day)
No, will arrange my own
Do you need financial assistance?
Limited financial assistance may be available
If the applicant is accepted, a bill for the $200 deposit will be sent. The total balance will be due by May 1st.
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service