Emerson-Williams Instrumental Music Registration 2019-2020
Hello Parents of Musicians!

Please fill out this form to register your child in instrumental music lessons for the 2019-2020 school year.
If your child is a beginning student please pick TWO different instruments in preferences.
Returning students can choose their CURRENT instrument to answer both questions.

Thank you. If you have any questions you can contact me at ecaravella@wethersfield.me 
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Email *
Student's First Name *
Student's Last Name *
Student Grade Level (2019-2020) *
Student Instrument Level (In 2019-2020) *
Parent Phone Number *
(Best phone number to contact)
Parent Phone Number - Alternate
Alternate phone number, if available
Parent Email *
(Best email to contact)
Parent Email- Alternate
If you have any additional parent emails you would like me to add to my update list please list them here:
Student's FIRST Choice Instrument *
Beginners must choose two DIFFERENT instrument choices. Second and Third years can pick the same instrument for each.
Student's SECOND choice Instrument *
Beginners must choose two DIFFERENT instrument choices. Second and Third years can pick the same instrument for each.
A copy of your responses will be emailed to the address you provided.
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