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Register for a Class
You can register for instrument lessons or any of the Music Together
®
Classes here or you can call the studio at 724-863-ROOM (7666). All registrations will be confirmed in the same method they were received unless you ask us to do otherwise.
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Your First Name:
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Your Last Name:
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Mailing Address:
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City:
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State/Province:
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Zip:
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Phone:
Other Phone:
Type (work, cell, etc):
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Email:
Contact Preference:
Email
Phone
Registrants
First Name
Last Name
Date of Birth (mm/dd/yy)
Registrant #1
Registrant #2
Registrant #3
Class
1
st
Choice
Location:
Class Type:
<Select>
<Any>
The Music Room
Indiana Regional Medical Center
<Select>
<Any>
Free Music Together Class
Music Together
Piano Lessons
Guitar Lessons
Violin Lessons
Viola Lessons
Cello Lessons
String Bass Lessons
Voice Lessons
Flute Lessons
Sax Lessons
Instrument Petting Zoo
Drum Lessons
*Class:
No matching classes were found
<Select Location and Class Type first>
Class
2
nd
Choice
— Please select a second class in case your first choice is unavailable.
Location:
Class Type:
<Select>
<Any>
The Music Room
Indiana Regional Medical Center
<Select>
<Any>
Free Music Together Class
Music Together
Piano Lessons
Guitar Lessons
Violin Lessons
Viola Lessons
Cello Lessons
String Bass Lessons
Voice Lessons
Flute Lessons
Sax Lessons
Instrument Petting Zoo
Drum Lessons
Class:
No matching classes were found
<Select Location and Class Type first>
Waitlist OK?
Yes
No
Comments:
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Copyright 2009 The Whittaker Music Studio. All rights reserved.