KMI 2017-2018 Registration Form
Register to earn 1 Graduate Credit from Anna Maria College for:

BAKE Workshops September 23, 2017, October 21, 2017, November 18, 2017, Boston University, Boston, MA

OAKE National Conference March 22-25, 2018 Oklahoma City, OK

The price is $275 for each selection payable to KMI.

***You must pay registration fees separately to BAKE and OAKE.

You may pay KMI with:

Pay Pal to kodalymusicinstitute@gmail.com
Personal Check or postal money order in US dollars payable to:
Kodály Music Institute c/o Susie Petrov, 53 Haviland Ave Lynn, MA 01902

Please complete the registration form below:

Registration
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First Name
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Last Name
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Address Line 1
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Address Line 2 (Optional)
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City
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State
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Zip
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Primary Phone
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Work/School Phone (Optional)
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Email Address
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Alternate Email Address (Optional)
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Date of Birth
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Occupation
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Name of Employer/School
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Employer/School Address
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Subject(s) You Teach
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Grade(s) You Teach
Your answer
School Principal's Name
Your answer
Number of Years You Have Been Teaching:
Your answer
Are you a member of the Organization of American Kodály Educators (OAKE)?
How am I paying?
Pay Pal (kodalymusicinstitute.org/payment)
Personal Check or money order in US dollars payable to:
Kodály Music Institute c/o Susie Petrov, 53 Haviland Ave Lynn, MA 01902

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