Please provide all of the following information:
Name of child: (required)
Highlight the child's grade: (required)
Pre-School (Ages 3-4)Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade
Does the child currently play a musical Instrument? (required)
Does the child have any allergies? (required)
Parent's name: (required)
Parent's Email: (required)
Parent's home phone: (required)
Parent's cell phone: (optional)
Contact Information
Who can we contact during practice sessions, if necessary?
Contact's name: (required)
Contact's phone: (required)
Comments
Additional information about the child that you want us to know
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