MPSD Private Music Lessons Program Registration Form - Fall 2018
Please complete one registration per student per instrument.
Registration Information
student's first name *
Your answer
student's last name *
Your answer
student's instrument *
choose one
student's grade this year *
student's school *
primary lessons parent/guardian's first name *
Your answer
primary lessons parent/guardian's last name *
Your answer
primary lessons parent/guardian's preferred phone *
###-###-#### please
Your answer
primary lessons parent/guardian's secondary phone
###-###-#### please; this is optional
Your answer
primary lessons parent/guardian's preferred email address *
Most MPSD Private Music Lessons Program information is communicated through email or direct contact with instructors.
Your answer
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.
Your answer
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