Summer 2021 Music Theory Course Registration
To complete registration, payment must be received. I accept payment via Zelle, PayPal, and check. Please contact me for details to complete registration.

Please email me at if you have any questions.
Student Name *
Student Email Address *
Parent Name *
Parent Email Address *
Parent Phone Number *
Student Grade Level in Fall 2021 *
Student School in Fall 2021 *
Student Musical Instrument *
Number of Years Student has Participated in Music (band, orchestra, choir, piano, etc.) *
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