Music Place Trial Class Request

The Music Place, San Jose California, Where Learning Is Fun!

THE place for wholesome MUSIC and DANCE education for children of all ages in San Jose, Sunnyvale and around the South Bay.

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Thanks for requesting a Free Trial Group Class! We look forward to seeing you! Just complete the form below to let us know what class you're interested in, and we will call to confirm.

Please Note that for safety reasons, you must receive a Confirmation from us by telephone before you may attend. Also, this offer is limited to one free trial Group Class per child.

Family Information

Father's First Name: Father's Last Name:
Mother's First Name: Mother's Last Name: Optional pre-registration information: Street Address: City: State: Zip:

Contact Information

* Please indicate the best way to reach you during normal business hours: * Daytime Phone: * Your Email: Optional secondary phone: Other Phone: What type of phone is this?

Student Information

* Student's First: * Student's Last: * Date Of Birth: * Gender: MaleFemale

Select A Class

* Class Type: * Location:
* Date Requested: * Published Class Time:

* Fields with an asterisk (*) are required.

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