King's Music Training

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Tuesday Afternoons at King's Baptist Church

Fiddle & Song: 3:30-4:00 PM
Youth Orchestra: 4-5 PM

Student's Name

*

Program(s)

*

Please select all that apply.

Fiddle & Song Youth Orchestra

Student 2 Name

Program(s)

Please select all that apply.

Fiddle & Song Youth Orchestra

Student 3 Name

Program(s)

Please select all that apply.

Fiddle & Song Youth Orchestra

Parent/Guardian Names

*

Parent/Guardian Email

*

This address will receive a confirmation email

Parent/Guardian Phone

*

Address

*

Payment

Child 1 ($50.00) Children's Choir Only (0)

Amount

Payment (additional child #2)

none ($0) additional child ($25)

Amount

Payment (additional child #3)

none ($0) additional child ($25)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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