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Lesson Date *
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Lesson Time *
9:00~
11:00~
13:00~
15:00~
Course of Interest *
Standard Course
Full Day Course
Parent/Legal Guardian
First Name *
Last Name *
First Child
First Name *
Date of Birth *
MM / YYYY
Gender *
Grade *
Second Child
First Name
Date of Birth
MM / YYYY
Gender
Grade
Third Child
First Name
Date of Birth
MM / YYYY
Gender
Grade
Contact Information
Phone Number *
Phone Number (2)
Email *

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