If you are a student, please only fill out the student portion.
If you are a teacher and are registering for a student, please fill out both sections
Student's First Name* :
Student's Last Name* :
Student's Grade Level:
Student's School Name:
Are you interested in participating in the master class?*
Name of Parent or Guardian*
Phone Number* :
Teacher's First Name:
Teacher's Last Name:
Would like to suggest a student for the master class?
Please let us know if you or your student has any special needs or if you have any other comments or questions.
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