MPSD Private Music Lessons Program Registration Form 2025

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MPSD Private Music Lessons Program Registration Form 2025 - 2026

Please complete one registration per student per instrument.

Registration Information

student's first name *

student's last name *

student's instrument *

choose one

student's grade this year *

student's school *

primary lessons parent/guardian's first name *

primary lessons parent/guardian's last name *

primary lessons parent/guardian's preferred email address *

Most MPSD Private Music Lessons Program information is communicated through email or direct contact with instructors.

primary lessons parent/guardian's preferred phone *

###-###-#### please

primary lessons parent/guardian's secondary phone

###-###-#### please; this is optional

primary lessons parent/guardian's mailing address *

Please include street address or PO Box #, town, and ZIP code. Refunds, if necessary, would be mailed to the address given.

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