STEPH'S VOCAL STUDIO REGISTRATION FORM

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STEPHANIE ROTH PERFORMING ARTS STUDIO

STEPH'S VOCAL STUDIO - ONLINE, IN PERSON @ Saltair Community Centre
INSTRUCTOR: STEPHANIE ROTH
2024 SESSION: ONGOING

EVENT ADDRESS: 3850 S Oyster School Rd, Ladysmith, BC V9G 1Z4

CONTACT: stephanierothstudio@gmail.com

FEE: PRIVATE 30 min $40; 45 min $55; 60 min $70

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EMERGENCY CONTACT - IF PARENT CANNOT BE LOCATED PLEASE GIVE AN EMERGENCY CONTACT NAME AND NUMBER
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HEALTH INFORMATION - PERMISSION - IN THE CASE OF EMERGENCY AND WE CONNOT REACH YOU, I GIVE TEACHERS PERMISSION TO GET MY CHILD THE CARE THEY NEED AT THE LOCAL HOSPITAL
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ALLERGIES OR SPECIAL NEEDS
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ANY HEALTH CONCERNS OR ANY OTHER CONCERNS
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I GIVE PERMISSION FOR ANY VIDEO OR PHOTOS TO BE USED BY STEPHANIE ROTH PERFORMING ARTS STUDIO FOR MARKETING PURPOSES
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DO YOU WANT TO JOIN MY MAILING LIST?
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