Resonance Piano Explorers Registration Form
Thank you for your interest in Resonance: Mind-Body-Music, LLC! All classes and lessons are held at 112 N. Main Street, Pearl River, New York inside Good Shepherd Lutheran Church. All levels and backgrounds are welcome!

Please fill out the following registration form. Thank you!

In Piano Explorers, students will spend time exploring the piano with Dr. Burns. We will practice keeping a steady beat, play “copycat” at the piano, and discover high, low, loud, and soft sounds. Please bring a favorite stuffed animal or storybook so that we can create a musical story at the piano together! For more information about Resonance, please visit www.elainaburns.com. Space is limited to 6 participants per class. A parent or caregiver can remain present for the class or they can leave after bringing the student into the classroom.
Student's Name *
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Parent/Guardian Name(s) *
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Student's Age *
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Best Cell Number *
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Alternate Phone Number
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Email to correspond with Dr. Burns *
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Email where invoice should be sent if different from above ($185 due upon registration - you will receive an email invoice)
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Student's interests *
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How did you hear about Resonance: Mind-Body-Music, LLC? *
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Please check the classes in which you are interested. Classes will meet for 8 sessions from mid-January through early March. Resonance Piano Classes are held inside Good Shepherd Lutheran Church at 112 N. Main Street, Pearl River, New York *
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Any other comments/information that might help me as I prepare lessons for your child?
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