CK Inst. Music Registration Form (23-24)

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CK Inst. Music Registration Form (23-24)

4th and 5th grade students only

Registration Form is DUE no later than Aug. 18th

Classes begin the Week of Aug. 28th.

ALL materials need to be ready for the first class!

* Indicates required question

Email *

Your email

Students First Name *

Your answer

Students Last Name *

Your answer

Classroom Teacher Name ( if known) *

Your answer

Grade Level *

4th Grade

5th Grade

Instrument Choice *

Your answer

Please select one *

First Year playing

Second Year plaring

other (please indicate # of years)

Parent-Guardian Name (s) *

Your answer

Preferred Email *

Your answer

Preferred Phone Number *

Your answer

Donation for music supplies *

$25.00

other

Submit

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