Chamber Ensemble Registration

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Student's Name*
Parent/Guardian's Name*
Address*
DATES: Mondays February 28 – May 23, No class on March 21
TIME: 7:30pm – 8:30pm
May Elefante Music use photographic images and sound bytes of your child for promotional material?
How did you hear about this class?

Credit Card*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Expiration Date