Kol Arts Class Registration 2022/23
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Email *
Student's Name *
Student's Age and Grade (if under 18 yrs. old)
Email Address *
Phone Number *
Parent's Name(s)
Address *
Additional Phone Number(s)/Contact Info
Private Lesson Instrument, Faculty request
Private Lesson Length
Private Lesson Package
I would like to audition for the Chamber Music Program
Group Classes: For the Kids, Pre K - Grade 5
Group Classes: For the Tweens & Teens
Group Classes: For the Adults
Make Up Lesson Policy:  Private Lessons cancelled by the student with 24 hour notice: one per semester. Please contact the teacher directly. There will be no make up lessons for missed Group Classes. Private Lessons and Group Classes cancelled by the Teacher or Congregation Kol Ami will be made up. I have read and agree to the make up policy. *
I give permission for the video recordings (and/or photos) of the class to be used in Kol Arts or Temple-related materials/promotion such as, but not limited to our calendar, promotional emails, flyers, Kol Ami and Kol Arts Facebook pages, Kol Ami website.  This use relates solely to photographs, statements and video made during participation in Kol Arts Program sponsored activities.  Names will not be used. *
I agree to adhere to Congregation Kol Ami's COVID-19 related restraints. Congregation Kol Ami requires full vaccination for everyone who is eligible in order to enter their facilities. *
A copy of your responses will be emailed to the address you provided.
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