Shamisen Class Application
Thanks for your interest in ALLEM's enrichment classes! Please note you will be contacted to confirm space and eligibility for this class.
Email address *
Phone Number *
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Parent/Guardian Name *
Your answer
Student Name *
Your answer
Grade *
Classroom Number *
Your answer
Do you consent to your child’s image, video or work be used for public relations, public information, promotion, publicity or instruction by ALLEM?
Does your child attend Afterschool Care? *
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