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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
$25 Registration fee for continuing students
Student Name: *
Student Age: *
Student Birth Date: *
Will you (the student) be attending One World Montessori in the fall? *
Which instrument are you interested in playing? *
Which lesson option do you prefer?
Clear selection
Have you played the instrument of choice before? *
If yes, how would you describe your current level? *
Do you have any other musical background? Please Explain. *
Other comments: Goals, past experience, etc. *
Parent or Guardian Names: *
Primary Phone Number (including owner's name) *
Secondary Phone Number (including owner's name)
Parent email: *
Parent secondary email:
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