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Thank You

A musical experience for everyone.

Thank You For Group Student Reservation.

Are you signing up an: In Person Class
How did you hear about us?: Friend
Billing Information: New Student
Contact Information: Mother
First Name: Kaitlyn
Last Name: Estrella
Email: kaitlynestrella@yahoo.com
Cell Phone: (818) 987-9244
Home Phone: --
Emergency Name: Arturo Estrella
Emergency Phone: (626) 487-9583
Address: 5846 Saloma Ave.
City: Sherman Oaks
State: California
Zipcode: 91411
Student - 1st Child:
First Name: Kassidy
Last Name: Estrella
Allergies?: No
Describe: --
Birthday: 04/01/2020
Location: --
Class: Music Tales Book 1 (5 - 6 yrs.)
Class Day: Saturday-21 Jun (10:00 - 10:50 AM)
Child 1 (Group): $180.00
Student - 2nd Child:
First Name: --
Last Name: --
Allergies?: --
Describe: --
Birthday: --
Location: --
Class: --
Class Day: --
Child 2 (Group): $0.00
Sub Total: $180.00
Discount: $0.00
Total Amount: $180.00
Payment Information:
Name as it Appears on Card: Kaitlyn Estrella
Type of Credit Card: Visa