dA Youth Mariachi Band
Wednesdays 4 pm - 5:15 pm
Ages 6 - 16
$45 per month per student $30 per additional family member

This class is designed to teach the beginning / intermediate level of Mariachi Music.
Students have the opportunity to learn violin, vihuela, guitar, guitarron, trumpet or voice.
No experience necessary.
Email address *
Student 1: First and Last Name / Nombre y Apeido de estudiante *
Your answer
Age/ Edad *
Additional information for students under 18
Your answer
Grade/ Grado *
Additional information for students under 18
Your answer
School/Escuela *
Additional information for students under 18
Your answer
Student 2: First and Last Name / Nombre y Apeido de estudiante
Your answer
Age/ Edad
Additional information for students under 18
Your answer
Grade/ Grado
Additional information for students under 18
Your answer
School/Escuela
Additional information for students under 18
Your answer
Student 3: First and Last Name / Nombre y Apeido de estudiante
Your answer
Age/ Edad
Additional information for students under 18
Your answer
Grade/ Grado
Additional information for students under 18
Your answer
School/Escuela
Additional information for students under 18
Your answer
Address/ dirección *
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City/ ciudad *
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State/ estado *
Your answer
Zip Code/ código postal *
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Telephone/ teléfono *
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Cell/ celular
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Emergency contact Name/ nombre de contacto de emergencia *
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Emergency Contact Telephone/ teléfono de contacto de emergencia *
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Emergency Contact (Relationship)/ Relación de contacto de emergencia *
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Special Needs or Health Alerts/ necesidades especiales o alerta médicas
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Parent's Name who will pay for class/ Nombre de padre que pagara para la clase *
Additional information for students under 18
Your answer
The $45 Montly fee (and $30 per additional family member) can be paid in cash at the dA Center for the Arts.
A copy of your responses will be emailed to the address you provided.
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