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New Student Form
Please fill out this form if you are a new or returning student looking for information about our programs - If you have any questions feel free to email registrar@musicartdance.org
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Email
*
Record my email address with my response
First & Last Name
*
Your answer
Parent First & Last Name
Your answer
How old?
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Address
*
Your answer
Art form of interest (instrument or art medium)
*
Your answer
Preferred Days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Required
Comments and Questions
Your answer
How does the student identify?
Your answer
What is student's race or ethnicity
Your answer
Does student identify as transgender (or another non-cisgender identity)?
Your answer
Does student identify as LGBTQIA+?
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In what language do you speak most fluently?
Your answer
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