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Kara Racicot Music Studio Registration and Policies 2023-24
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Email
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Student 1 Name:
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Student 1 Birthday:
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Student 2 Name:
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Student 2 Birthday:
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Parent/Guardian Name (1)
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Parent/Guardian Email (1)
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Parent/Guardian Name (2)
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Parent/Guardian Email (2)
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Phone number
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Mailing Address
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Preferred Method of Communication
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Emergency Contact Name:
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Emergency Contact Phone
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Add anything else you would like to me know about your student (learning styles, allergies, likes, dislikes):
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