Summer Private Lesson Registration 2020
Welcome!!! This form is a complete registration form for all lessons. This form needs to be filled out for each child/person you are registering.
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Email *
Summer Private Lessons June - July
Private lessons are 30 minutes each and consists of 6 weeks. Payment must be made in full either before or by the first day of the semester, unless a payment plan has been established. Prices are listed in this registration form.

Have any remaining questions or need to make changes to your registration?

Email Director Dr. Alexander Koops at akoops@apu.edu, Associate Director Jared Storz a jstorz13@apu.edu, or azusaconservatory@apu.edu.
STUDENT'S FIRST NAME *
STUDENT'S LAST NAME *
BIRTH DATE *
MM
/
DD
/
YYYY
PARENT'S/GARDIAN'S NAME(S) *
PRIMARY PHONE NUMBER *
SECONDARY PHONE NUMBER
EMAIL *very important for receiving information* *
ADDRESS *
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