Contact 8 — West Louisville Talent Education Center

Are you interested in your child being a part of our fantastic program? Please fill out the form below.

Student name

First Name

Last Name

Parent name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary phone number (Cell)

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Secondary phone number (home/work)

Email

Student birthdate

MM

DD

YYYY

What days and times will be best for lessons? Feel free to add any comments on your avalibility

How did you hear about our program ?