Register #8804 - vancomusic

Registration Form

I am a:

Adult Student (ages 19+)

Adult Student Information

first name:

Laura

last name:

Ceron

Enter Email:

lauraceronquinche@gmail.com

Phone number:

7788717397

Date of Birth:

2000-09-25

Address

Country:

Canada

City:

Coquitlam

State / Province / Region:

British Columvia

Address Line 1:

1241 Nestor St

Address Line 2:

ZIP / Postal Code:

V3e1h4

Program Selection

I am looking for:

In-person Lessons

What level would you like to register?

Preliminary

Please write the program or instrument you are interested in:

Voice

How many days a week would you like to have classes?

Once a week

Which days are you available for lessons?

Monday

We'd love to know how you heard about us:

Search Engine (Google, Bing, etc.)

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