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AGO Miami
: Pedals, Pipes & Pizza Registration Form
Pedals, Pipes and Pizza Organ Event
Saturday, October 28, 2023 10:00 AM
Featuring Organist
NICOLE MARANE
St. Thomas Episcopal Church
5690 North Kendall Drive
Coral Gables, FL 33156
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* Indicates required question
Name of Participant
*
Your answer
Age
*
Your answer
Number of Years of Piano Study (if applicable)
Your answer
Name of Music/Piano Teacher
*
Your answer
Music/Piano Teacher's Email Address
*
Your answer
Name of Parent/ Legal Guardian
*
Your answer
Parent/Legal Guardian Mailing Address
Your answer
Parent/Legal Guardian Phone Number
*
Your answer
Parent/Legal Guardian Email Address
*
Your answer
Emergency Contact Phone Number (other than above)
*
Your answer
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