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Silver Music Instrumental Elective
Please submit your child's information to apply for a Silver Music instrumental class--designed for students who study an instrument.
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* Indicates required question
Student's Name
*
Your answer
Student's Age
*
Your answer
Student's Birthdate
*
MM
/
DD
/
YYYY
School
*
Your answer
Grade in Fall 2021
*
Your answer
Parent's Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Student's Instrument
*
Flute
Violin
Viola
Cello
Guitar
Piano
Other:
Required
Years of Study
*
Your answer
Current Working Piece
Your answer
Last Polished Piece
Your answer
Private Teacher
Your answer
Describe your child's music reading ability
Your answer
Is your child familiar with any music software (smartmusic, acapella, finale, noteflight, etc)?
Yes
No
Maybe
Clear selection
Has your child attended a Silver Music program before? Please be as specific as possible.
Your answer
What program would you like to attend?
*
Composition I-on-I (30 minute private sessions)
Composition I-on-I (45 minute private sessions)
Other:
Required
How would you like to pay for your class?
Please use the card I have on file after confirming my child's participation
Please send me a separate invoice-I do not have a card on file or I would like to pay with a new card
Clear selection
Additional Comments
Your answer
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