Enrollment Form | The Dickinson Music Enrichment Center|Dickinson,Texas

Student Enrollment Form
Student Information

Student First Name

Student Last Name

Birthday

Gender

Student School

HS Graduation Year

Race/Ethnicity Descriptions

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

Black or African American: A person having origins in any of the black racial groups in Africa.

Latin: A person of Latin American origin or descent

Middle Eastern: A person having origins in any of the original peoples of the Middle East.

Indigenous/Native: A person having origins in any of the original peoples of North/Central/South America and who maintains a tribal affiliation or a community bond.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. White: A person having origins in any of the original peoples of Europe or North Africa.

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2024 ENROLLMENT FOR BEGINNER AND INTERMEDIATE CLASSES
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The Dickinson Music Enrichment Center

Student Enrollment Form
Student Information

Help us continue to provide free music lessons to kids

DONATE TODAY

Student Enrollment Form Student Information

Student Enrollment Form
Student Information