Student Name

First Name

Last Name

Parent Name

Parent Phone

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Parent Email

Student Email

Student Age and Grade

Student is Signing up for

Creekside Music Club (Mondays from 6:00-7:30 pm)

Creekside Music Club (Thursdays from 4:00-5:30pm)

Instrument or Interest

Musical ability is not a prerequisite to participate. If you're interested in music production, songwriting, graphic design or just love music, we'd love to have you join us.

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