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Student Info *

First Name

Last Name

Gender *

Male

Female

Other

Parent Info *

First Name

Last Name

Phone *

(###)

###

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Location *

Burbank

Brea

I allow World Star Academy to take photos /videos of my child to post on social media in order to join the free workshop. *

I acknowledge that I am eligible to receive a 33% discount from $120/month to 80$/month (4 classes/program) with a one time application fee of 30$/student should I decide to apply for a program on the free workshop day. *

Click here to indicate that you have read and agree to the terms presented in the Terms and Conditions agreement *

I agree to the Terms and Conditions

Date

MM

DD

YYYY