Performing Arts Summer Course at Symphonia

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11-13 & 16-18 December 2024

19-20 (Additional dates)

Full Name *

School Year *

Name of School *

Instrument/s *

Grade level on the main instrument (Approx.) *

1-5

6-8

Above 8

I am not sure (please write the name of the piece you are currently learning below)

Other:

Lunch Order *

Yes $20 Per Day

Staying 3:30-5:30PM for baking & guided practice *

Yes until 5:30pm ($50)

Additional Days (Dec. 19 & 20)

Musical Theatre (Dancing, Singing & Acting)

Yes

Parent Name *

Email *

Does your child have any dietary restrictions?

Medical Conditions or Special Needs

Emergency Contact Name

Emergency Contact Number

Any additional comments or requests

Please note that the fee is non-refundable.

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