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Registration form
for:
Orchestra Adventures - Spring program
*
Payment options are listed at bottom of form; you do not need to submit payment at time of registration
*
Indicates required field
Parent name
*
First
Last
Name and age of 1st child
*
Instrument (choose one)
*
violin
viola
cello
don't know yet
string bass (intermezzo only)
Choose Level
*
Prelude 3:45-4:30 (Beginning - can read notes on A and D strings)
Intermezzo 3:15-4:30 (Intermediate Level or higher)
Please provide a brief description your child's experience.
*
Name and age of 2nd child
*
Instrument
*
violin
viola
cello
don't know yet
bass (Intermezzo and Encore students only)
Email
*
Cell or main phone number
*
May we send text messages to this number?
*
Yes
No
Home (or alternate number)
*
Mailing address
*
Line 1
Line 2
City
State
Zip Code
Country
List any additional information you feel it would be helpful for us to know about your child
*
Payment options
*
Paypal - to orchestraadventures@gmail.com
Hand deliver on first day of class
Submit