New Music Student Registration
Verona Music Student Information
Student name *
Your answer
Parent 1 name *
Your answer
Parent 1 email *
Your answer
Student Home Address *
Your answer
Parent 2 name
Your answer
Parent 2 email
Your answer
Home phone number
Your answer
Parent 1 cell phone number *
Your answer
Parent 2 cell phone number
Your answer
My child is joining the: *
check all that apply: Please remember that Concert and Marching Band are one entity
Required
First instrument
Your answer
Second instrument
Your answer
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