Benton Music Department Registration
Each student must be registered with the Music Department via this form before instruction can begin. Registration should take about five minutes.
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Email *
Welcome Video [1:41]
Student's LAST Name *
Student's FIRST Name *
Primary Guardian's LAST Name *
Primary Guardian's FIRST Name *
Primary Guardian's Phone Number *
Preferred Language(s) *
Select all that apply
Required
Secondary Guardian's LAST Name
Secondary Guardian's FIRST Name
Secondary Guardian's Phone Number
Secondary Guardian's Email Address
Does this student have any prior musical experience? *
Prior musical experience is defined as private or small group study or lessons on voice or a musical instrument such as piano, brass, woodwind, percussion, guitar, etc. This does NOT include elementary school recorder, ukulele, or Orff programs.
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