Ann J Kellogg Piano Lab 2023-24 Registration
Thank you for registering for Piano Lab!  

In-School Piano Labs begin September 11th, 2023. We are working with your school and teachers to create a schedule for your lessons that will be communicated to you as soon as possible.

If you fill out this form, you do not need a paper registration form.

THIS PIANO LAB IS FREE OF CHARGE THANKS TO THE SUPPORT OF THE W.K. KELLOGG FOUNDATION.

Questions? 
Please email Battle Creek Piano Lab Coordinator Sara Cleland:  scleland@thegilmore.org
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Is your student new to Piano Lab or returning? *
Student First Name *
Student Last Name *
Preferred Name
Please indicate your student's pronouns
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Write in your pronouns if needed
Student Age *
Birth Date (MM/DD/YY)
Classroom Teacher
Grade in School *
Student School Email *
This will be used for the Google Classroom, which requires a BCPS email address.
PARENT/GUARDIAN INFORMATION
Parent/Guardian First Name *
Parent/Guardian Last Name *
E-mail address *
Street Address *
City *
State *
Zip Code *
Home Phone (land line)
Work Phone
Cell Phone *
May we send you text messages? *
Street Address *
Student owns or has access to a piano/keyboard on a regular basis?
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If yes, what kind of piano?
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Would you like to borrow a Keys2Kids portable piano?
The Keys2Kids Keyboard Lending program is for students participating in Piano Labs who do not have an instrument at home for practice. The Gilmore can lend one (1) keyboard per family, free of charge, while students are participating in the program. Families who choose to participate will receive a keyboard and full details after registration, while supplies last.
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In consideration for being allowed to participate in the Gilmore Keyboard Festival’s programs, I agree to assume the risk of such activities and programs; and I further agree to hold harmless The Gilmore and its staff members conducting the activities from any and all claims, suits, losses, or related causes of action for damages including out-of-school trips by van or bus, understanding that competent leadership is provided. The Gilmore is not responsible for lost, stolen, or damaged personal articles. I also authorize The Gilmore to have and use music composed by my child, photographs, and audio and/or video recordings of me, my child, or family as may be needed for public relations programs. I acknowledge that this General Release of Liability is binding on me, my representatives, and program participants.
PARENT/GUARDIAN SIGNATURE *
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