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Performance Music School
Please fill out one form per student
Registration Form
$50 Registration fee for lessons on violin or piano
$60 Registration fee for lessons on violin and piano
Student Name: *
Your answer
Student Age: *
Your answer
Student Birth Date: *
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Will you (the student) be attending One World Montessori in the fall? *
Which instrument are you interested in playing? *
Required
Which lesson option do you prefer?
Have you played the instrument of choice before? *
If yes, how many years? *
Your answer
If yes, how would you describe your current level? *
Required
If yes, what books and materials did you use? Including most recent *
Your answer
Do you have any other musical background? *
If yes, please elaborate *
Your answer
Other comments: Goals, past experience, etc. *
Your answer
Parent or Guardian Names: *
Your answer
Home Address: *
Your answer
Primary Phone Number (including owner's name) *
Your answer
Secondary Phone Number (including owner's name)
Your answer
Parent email: *
Your answer
Parent secondary email:
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