Keyboard Club Reg

Register for Keyboard Club here:

* Indicates required field

Student Name *

First

Last

Parent Name *

First

Last

Parent Name *

First

Last

Parent Email *

Main Phone *

Other Phone *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Current Grade *

Do you own a Keyboard? *

Yes No

I will attend all Keyboard Club classes. I will participate in all evening and daytime performances. *

Yes No

I will treat the Keyboards I play with respect, and will pay for any repairs for which I am responsible. *

Yes No

Submit