Student Registration Please enable JavaScript in your browser to complete this form.NameStudent NameStudent AgeInstrument (one choice here)violincellopianoviolaguitarbassotherNumbers (cell)Cell number preferrable. Texting is preferrable.Email *Address (full)put full address here as there are limited field on this form. ThanksI agree to regular attendance and full payment for semesters I (Sept 2-Jan 22) and II (Jan 23 –June 17).Yes–check this in lou of signatureThis will be an agreement in which checking will be binding as a signature.Permission granted to photograph/video student in lesson or recital (no last name used in posts)YesNoHow did you hear about us?word of mouth (including social media)social media adotherCan you help by… (discounts given)Shooting video/photosSocial mediasetting up a public performanceothercheck all that apply. Discounts will be given.Submit September 13, 2022 Chris
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