Ukulele Lessons with Mr. Retzer!
Use this form to enroll in the Ukulele after school enrichment class, taught by Carrillo 2nd grade teacher Mr. Retzer! This class will run from the week of April 1 through the week of May 20, on Mondays, from 3:10-4:10 in Room 12! The registration fee is $145. You may submit payment to the front office via check made out to Marklyn Retzer, or via Venmo @Marklyn-Retzer. Please contact Mr. Retzer directly at marklyn.retzer@smusd.org, or our enrichment coordinator Mrs. McCoy at whitney.mccoy@smusd.org if you have any questions. 
Sign in to Google to save your progress. Learn more
Student First Name *
Student Last Name *
Grade *
Teacher Last Name *
Adult Contact Full Name *
Adult Contact Phone Number *
Adult Contact Email Address *
Additional Adult Contact Name *
Additional Adult Contact Phone Number *
Will your student be going to KOC after their enrichment class? *
I understand that my student must be picked up on time in the front loop of the school (unless returning to KOC). Students must be picked up by a responsible adult and cannot walk home alone. I understand that late pickups may result in additional fees.  *
I understand that my student must follow Carrillo rules and behavior expectations during their enrichment camp. Multiple behavior incidents may result in being removed from the class without a refund. *
I understand that no instruments will be provided and my student will need to bring their own ukulele to class. *
Please select your payment method. Venmo payments should be sent immediately upon completing this form. Check payments should be sent to the front office on the next school day after completing this form. 
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of San Marcos Unified School District. Report Abuse
Google Forms