Bekah Bee Music Enrollment
819 Camano Ave, Langley, WA 98260
Contact us at (360) 298-6184 or bekahbeemusic@gmail.com
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Email *
I have read and agree to the policies in Bekah Bee's Music Contract. *
Student Name *
Student's Age and Date of Birth (under 18)
Parent/Guardian Name(under 18)
Primary Phone *
Who is authorized to pick up your student under 18? Please include Phone Numbers.
Who can be called in case of emergency(Required for In Person Lessons)?
Is there anything else you would like to share about you or your student that will help me best mentor in the classroom?
What classes will you or your student attend? *
Required
Allergies?
May I use you and your child's image for Bekah Bee Marketing, Website and Social Media?   *
I understand that tuition is due at the 1st Lesson/Class of the month. $75/Group Classes, $130/30min Private Lesson, $260/month 60min Private Lesson *
Required
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