Summer Special!
Please provide your information below. Upon receipt of this form, you will be contacted by Anthem staff to arrange for payment and scheduling.
*Does not include $45 registration fee
First/Last Name of Parent/Client *
Your answer
Phone Number *
Your answer
Email
Your answer
First/Last Name of Student *
Your answer
Birthday of Student *
MM
/
DD
/
YYYY
Instrument Choice *
Thank you for your support!
t: (210) 368 9649 / e: anthemstudios210@gmail.com
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