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Parent/Guardian's Name
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First
Last
Email
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Student's First & Last Name
*
Student's Date of Birth
*
Preview Lesson Choice
*
BURLINGTON: Music Wonderland (age 3): Sundays at 10am
BURLINGTON: JMC 1: Sun March 2nd at 11am
BURLINGTON: YMC 1 (ages 6-7): Sun March 2nd at 12p
Please select your beginner preview class & time! If you have more than one student to register, please complete this form again for each student.
Phone Number
*
What are your goals for your child learning music? Check all that apply.
Learn to read music
Learn to play piano
Have fun!
Music appreciation
Build confidence and self-esteem
Perform
Learn practice/study skills
Spend time together
Make new friends
As the child's parent/guardian, what is your background in music? Do or did you play an instrument? What music do you love?
Comments/Questions
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