Bekah Bee Music Winter Classes
819 Camano Ave, Langley, WA 98260
Contact us at (360) 298-6184 or
Student's Age and Date of Birth
Who is authorized to pick up your student? Please include Phone Numbers. (N/A for Music Together students who must be accompanied by a grown up)
If Parents can not be reached, who can be called in case of emergency?
Is there anything else you would like to share about your student that will help me best mentor them in the classroom?
What classes will you or your student attend?
Music Together Mon 10:30-11:15
Group Ukulele Mon 4:00-4:45
Group Ukulele Thur 1-1:15
Group Ukulele Friday 3:45-4:30
Music Together Fri 10:30-11:15
May I use your child's image for Bekah Bee Marketing, Website and Social Media?
Maybe. Please ask and show me pics/videos before using.
I understand that tuition is due at the 1st Lesson/Class of the month. $60/month Group Classes, $100/month 30min Private Lesson, $200/month 60min Private Lesson, Music Together $160/10 weeks
Yes! Please invoice me for online payment! I'm happy to pay an addition 3% +.30 in fees.
Yes! I would like to pay by cash or check at Bekah Bee Music!
Yes! Please send me a mailing address to put a check in the mail.
Do you have any scholarship/trade opportunities?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service