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Innovative communication through the arts of language and music
5 -9 10 - 17
A. What's the level of Education of participant.
Elementary High School College
I would like t
o take te
following subject (s).
C. Available days for class. Check that apply.
Monday Tuesday Wednesday Thursday Friday
D. My available time to take classes. Eastern Standard Time (EST) is the time in Miami, New York and other eastern parts
of the USA. If you are not sure, write a note in the comment box. Check all that apply.
1. Between 10:00 am. and 12 noon EST. 2. Between 12 noon and 3:00 p.m. EST 3. Between 7:00 p.m and 9:00 p.m EST
I am inquiring about the class for
1 Myself 2. . Other individuals
F. My choice of class.
1. Private ($30.00 - 60.00 hr) 2. Group. (Online)
$70 month, Group (Online) $100 all summer
G. I would like to start taking my classes
1. Immediately 2. Within 2 week to 3 weeks 3. Summer 2017 (June 4 - August 4.
H. Adults. Your profession /trade.
1. Medical 2. Education 3. Business 4. Other Specify
I. Did someone tell you about these classes? If so, write the name of the person below
Please fill out this pre-registration form. We will get back in touch with you.
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