Bekah Bee Music Winter Classes
819 Camano Ave, Langley, WA 98260
Contact us at (360) 298-6184 or bekahbeemusic@gmail.com
Student Name *
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Student's Age and Date of Birth *
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Parent/Guardian Name
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Primary Phone *
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Primary Email *
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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)
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If Parents can not be reached, who can be called in case of emergency? *
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Is there anything else you would like to share about your student that will help me best mentor them in the classroom?
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What classes will you or your student attend? *
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Allergies?
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May I use 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. $60/month Group Classes, $100/month 30min Private Lesson, $200/month 60min Private Lesson, Music Together $160/10 weeks *
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