Winter Ukulele Lessons

Child's Name(required)

Child's grade

Phone(required)

Email(required)

Parent/Guardian's Name(required)

Address(required)

Child owns/has access to ukulele? (We will provide ukuleles if needed)(required)

Yes No

Please register my child for

Intermediate Ukulele – some experience Advanced Ukulele – years of experience Beginning Ukulele – no experience

Tuition(required)

I will pay full tuition online I will mail a check to 62 Church St Malden MA 02148 I will drop off cash in locked mailbox at 62 Church St I would like to be contacted about a scholarship

Is there anything else you'd like to share about your child?

Does your child have any song requests?

Media Release(required)

Yes I give First Lutheran Church in Malden permission to use my/my child's image (photographs and/or video) for use in media publications including social me No I do not give First Lutheran Church in Malden permission to use my/my child's image.

Winter Ukulele Lessons

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