MODE MUSIC AND PERFORMING ARTS ONLINE VIDEO ENRICHMENT REGISTRATION

**All of our online video classes are available to watch anytime, anywhere!**
 
Please select from our scholarships at 50% or 100% when asked about payment or enter a Pay What You Can option (must select 100% scholarship first.)
 
We are offering rolling enrollment and will keep classes up for 3 weeks after the end date. All new videos will be released once a week on Monday between noon and 1:00 and will stay available to all students.
 
Each video is 30 minutes and prompts a 15-30 minute activity or practice. Have fun and stay safe!
Mode Music and Performing Arts
3801 Delridge Way SW
Seattle WA 98106
http://www.modemusicandperformingarts.org

STUDENT INFORMATION

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CONTACT INFO (ADULT PRIMARY CONTACT)

PRIMARY ADULT Relationship to Student: *
 
SECONDARY ADULT Relationship to Student:
 

MMPA Online Enrichment Classes

PRE-PRIMARY (AGES 2 AND UP)
Select the class(es) you wish to enroll in below. Age/grade ranges are provided as a suggestion. Classes will be made available weekly and can be viewed at any time during the 6 weeks.
LOWER ELEMENTARY (AGES 5 AND UP)
Select the class(es) you wish to enroll in below. Age/grade ranges are provided as a suggestion. Classes will be made available weekly and can be viewed at any time during the 6 weeks.
TEEN / ADULT (AGES 12 AND UP)
Select the class(es) you wish to enroll in below. Age/grade ranges are provided as a suggestion. Classes will be made available weekly and can be viewed at any time during the 6 weeks.

PAYMENT

**All of our online video classes are available to watch anytime, anywhere!**
 
Please select from our scholarships at 50% or 100% or use the Pay What You Can option (must select 100% scholarship first and then enter alternate amount.)
Current Total:
$0.00

COMPLETION

I, the undersigned parent/guardian of the registrant, acknowledge the possibility that participation in Mode Music and Performing Arts activities could result in physical injury to the registrant. I hereby release, discharge and agree to hold harmless Mode Music and Performing Arts, its officers, directors, employees, agents and affiliates from any and all claims arising from or related to the registrant’s participation in Mode Music and Performing Arts activities. I certify that I have read, understood, and agree to the above conditions, and that the information provided is complete and accurate to the best of my knowledge.  *
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