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 *
Your answer
Last Name *
Your answer
Address Line 1 *
Your answer
Address Line 2 (Optional)
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Primary Phone *
Your answer
Work/School Phone (Optional)
Your answer
Email Address *
Your answer
Alternate Email Address (Optional)
Your answer
Date of Birth *
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Occupation *
Your answer
Name of Employer/School *
Your answer
Employer/School Address *
Your answer
Subject(s) You Teach *
Your answer
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

You have successfully completed your KMI registration form!

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