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Please use this form to register for the Instrumental Music Ministry.

Please fill in the form completely--all fields are required.

Wherever fields do not apply to adults, just enter "none."

 

Required for Adults & Students

   First Name

   Last Name

   Home Phone

   Work Phone

  Cell Phone

   Email

   Address

   City         Zip

What instrument(s) do you play? (If more than one, please hit enter after each)

Required for Students Only

 

  Parent's First Name

   Parent's Last Name

   Grade Level

   Parent's Email