Children and Youth Theory Class Registration Form
Our Children and youth Theory class, taught by Alex Carpenter, is for students in the 1st through 12th grade.   We meet Tuesdays @7:15-7:45pm at HSU. Students will be given the opportunity to learn the basics of music theory! 
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Email *
Are you seeking a tuition scholarship?
Please respond with yes or no. If yes, we will send you an application. 
*
What will your method of payment be? *
Student Name (last, first) *
Grade (25-26 schoolyear)  *
School *
Date of Birth - (mo/day/yyyy) *
Student Resides primarily with *
Home Phone (xxx-xxx-xxxx) (Parent Cell if no land line) *
Student Cell Phone (xxx-xxx-xxxx) (if applicable)
Student Email (if applicable)
Mother's Name (last, first) *
Father's Name (last, first) *
Mother's Cell Phone (xxx-xxx-xxxx) *
Mother's Email *
Father's Cell Phone (xxx-xxx-xxxx)
Father's Email address
I would like these email addresses included on group email list. *
Required
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