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About School of the Arts
Kindermusik
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Student Name*

First

Last



Enrollment For*
 Fall Semester
 Spring Semester
 Summer Semester

Student's Birthday*
 
MM/DD/YYYY




Student*
 Male
 Female

Student E-mail*


Student Address*


Parent or Guardian Name*

First

Last



Parent or Guardian Address*


Parent or Guardian Primary Phone*
 
(###) - ### - ####



Parent or Guardian Secondary Phone
 
(###) - ### - ####



Parent or Guardian Work Phone
 
(###) - ### - ####



Parent or Guardian E-mail*


Name & Contact for Individual Responsible for Tuition Payments & Fees:*


Do you attend church? If so, what church?*


Student's School and Grade*


Area of Study? Years in this study?*


Is there a keyboard in the home?*
 
Yes or No




Does the student play any other instrument? If so, what instrument(s)?*


Online Registration

 

Do you want to submit your registration information online? Simply fill in the blanks, and click "SUBMIT" at the bottom of the page to send the information directly to the School of the Arts Director. Remember, though, the process is not complete and the registration valid until the Materials Fee, Registration Fee, and Tuition is paid.

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