Registration
Each performer is allowed a maximum time of 2 minutes to perform their piece.
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email: (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
 
 
 
Questions/Options:
What is the performers Instrument?*
What is the Performers Name? If there is more than one performer please place in the comments section.*
What is the performer's song title? If there is more than one performer please place in the comments section.*
Will the performing student require piano accompaniment? Each Piano Accompaniment will incur a fee of 10 dollars. *
Will the performer require recorded audio accompaniment? There is no fee for recorded audio accompaniment. Please put details in the comment section if applicable.
Comments:
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*