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Summer Private Lesson Registration
Falls Baptist Music School & New Song
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Submit separate registration for each student and each instrument.
Parent's Name
*
First
Last
Student's Name
*
First
Last
Student's Age
*
Student's Grade in the Fall
*
School
*
Please select
Academy
Homeschool
Public School
Instrument
*
Please select
Violin
Viola
Cello
Piano
Trumpet
French Horn
Low Brass
Flute
Clarinet
Oboe
Bassoon
Address
*
Street Address
City
State / Province / Region
Postal / Zip Code
Phone
*
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-
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Additional Phone
###
-
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Email
*
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