133-29 41st Avenue, Flushing, NY 11355 (1st FL)
Phone: (718) 359-1888 Email: contact@glownyc.org
Office Hours: Mon-Sun 10am-4pm.

Group Music Class Program 2019

Registration Form for GCC Music Club 2019
Welcome to Glow Community Center (GCC) Music Club.
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Circle program of interest (more than one may apply)

Personal information

Student Name :
Name of contact person :
Date of Birth
Address :

Audition (Only Orchestra and Teaching Assistant Applicants)

No audition for beginner / Intermediate group music program applicants Live audition Schedule & Location : TBA Video Recording Audition : Send us your recording Link to (email: michelle.nam@glownyc.org with Student’s name)
Type of Performance:

Membership Fee (Sep. 2019 - Sep. 2020)

Please make $10.00 Check for Membership Fees payable to “Glow Community Center, Inc.” and mail out to GCC Music Department 133-29 41st Ave., Flushing, NY 11355
I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL.