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JUBAL ARTS CENTER REGISTRATION FOR 2022/2023 SESSION
Please fill out the following registration form to sign up for lessons. Once you have completed the form, please go to the following link to pay your fees online(EGiving):
https://giving.ncsservices.org/app/giving/ncs-2117
If you choose to pay in person you will have to make an appointment to do so. Please contact the Director at
jubalartscenter.eebc@gmail.com
.
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LAST NAME OF STUDENT
*
Your answer
FIRST NAME OF STUDENT
*
Your answer
PARENT'S NAME (IF UNDER 18)
Your answer
STUDENT'S ADDRESS (PLEASE INCLUDE THE ZIP CODE)
*
Your answer
STUDENT/PARENT PHONE NUMBER(PLEASE INCLUDE THE AREA CODE)
*
Your answer
EMAIL ADDRESS
*
Your answer
AGE OF STUDENT (IF UNDER 18)
*
Your answer
BIRTHDATE (MONTH)
*
Choose
January
February
March
April
May
June
July
August
September
October
November
December
BIRTHDATE (DAY)
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SCHOOL PRESENTLY ATTENDING (IN UNDER 18)
Your answer
NAME OF SCHOOL MUSIC TEACHER/DIRECTOR
Your answer
PHONE NUMBER/EMAIL OF TEACHER
Your answer
WHAT INSTRUMENT(S) ARE YOU REGISTERING FOR LESSONS IN?
*
PIANO
PERCUSSION
VOICE
STRINGS
WOODWIND/BRASS
Required
HAVE YOU STUDIED MUSIC BEFORE?
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Yes
No
IF SO, HOW LONG?
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0-2 YEARS
3-4 YEARS
5-6 YEARS
7-8 YEARS
9+ YEARS
DO YOU OWN AN INSTRUMENT?
Yes
No
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FIRST PREFERRED DAY AND TIME
*
Your answer
SECODN PREFERRED DAY AND TIME
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Your answer
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