Music Theory I Student Enrollment
This form is to be completed by students interested in the Conjunto Heritage Taller's "Music Theory I" course to take place virtually, Thursdays from 6:30 PM to 7:30 PM Central Time, from September 17th, 2020 - December 10th, 2020 (no class on Thanksgiving Day)
First Name *
Last Name *
Phone Number *
Email Address *
Date of birth *
MM
/
DD
/
YYYY
Street Address *
City *
State *
Zip Code *
Do you play any instruments?
Clear selection
If you answered yes to the above question, please specify the instrument(s) you play
Gender *
Military Veteran *
Race / Ethnicity *
Household Income *
Education *
Payment
Tuition for the Music Theory I course is $90. Please submit your payment via the link below. Please note, students may be dropped from the course if they have not submitted their payment by the tuition deadline of September 12th, 2020.

https://checkout.square.site/buy/SE6YYBPWVI3RWIQLT55RMB34
Submit
Never submit passwords through Google Forms.
This form was created inside of Conjunto Heritage Taller. Report Abuse