Registration for Kendrum Music Academy.

Registration

Name*
First Last
Use this field to register multiple entries from the same household.
First Name Last Name

Use this field to register multiple entries from the same household.
Name of One Parent if Student is a Minor
First Last
Email*
Enter Email Confirm Email
Phone*
I am interested in taking lessons in:*
- Select All
- Steel Pan
- Guitar
- Keyboard
- Piano
- Vocal
- Percussion
- Music Theory
- African Drums (Djembe)
- Other
Today's Date*
MM slash DD slash YYYY

The date the reservation is being made this is necessary for priority placement in case of limited space availability.
Any Further Details or Questions.
Details such as day and time that you are available to receive a call back.
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Comments
This field is for validation purposes and should be left unchanged.

First Name	Last Name