2019 Flute and Piano Registration

Flute & Piano Registration form. Please complete this form to register. Once you register, the next step is to submit payment.

Student Info

Please provide the Student's Last name.
Please provide the Student's First name.
Please provide the Student's email address.
Please provide the student's phone number.
Please enter Student's valid date of birth.
Please select a grade.

Parent Info

Please provide the Parent's Last name.
Please provide the Parent's First name.
Please provide the Parent's email address.
Please provide a valid street address.
Please provide a valid city.
Please provide a valid state.
Please provide a valid zip.
Please provide a valid cell phone.
Cell Texts OK?*
Can we send text messages to your phone?

Program Info

Please select a program.
Please select select your student's music reading level.
Please select a T-Shirt size.
Please select an extra T-Shirt size, or choose "No Extra Shirt".
Please select 1st choice enrichment class.
Please select 2nd choice enrichment class.
Honors Recital?*
Do you wish to participate in the Honors Recital?
Sonata Competition?*
Do you wish to participate in the Sonata Competition?
Please enter the name of the accompanying adult.
Request Student to be escorted by a Mentor?*
Request Student to be escorted by a Mentor?

* indicates required field