Music Class Registration Site

Enrollee Details

Enrollee Name

Casas, Catherine T

Gender

Female

Birthday

June 23, 2010

Age

14

Contact #

09123654789

Email

ccasa@gmail.com

Class Wish to Enroll

Drum Lesson

Address

1628 Rebecca Street, Arlington Heights, IL 60004

Guardian/Parent Name

Will Casas

Guardian Contact #

0965488798

Enrollee Relation with the Guardian

Father

Status

Confirmed

Date Submitted

May 27, 2022

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