Registration for 2024 Phyllis Rappeport Legacy Series Day with Marvin Blickenstaff 
Please register for our 2024 PRLS Day including the following events: 
Lecture with Marvin Blickenstaff, Luncheon with Marvin Blickenstaff, Recital presentation, Masterclass with Marvin Blickenstaff
Sign in to Google to save your progress. Learn more
Email *
Last Name, First Name *
Street Address *
Street Address 2 (e.g. Apartment Number)
City *
State *
Zip Code *
Home or Cell Phone Number *
Which of these events do you plan on attending? Please check all that apply. *
Dietary Restrictions
I'm bringing my friend for the discounted registration fee of $20 (Last Name, First Name).
Once you submit this application form, the confirmation page will display the link at which you can pay the application fee of $25 ("Bring a friend" discounted fee of $20/student fee of $10). If you have any problems or concerns with this application, please contact Lori Sims (
Clear form
Never submit passwords through Google Forms.
This form was created inside of Western Michigan University. Report Abuse