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**To enroll your child, print out this page, fill in the information, and send it with the fee to the address below.
Once we've received your registration we will send you a confirmation by email.
Child's name____________________________ Age_____Parent's name____________
Address______________________________ Zip___________Phone___________________
Email (to confirm registration)_______________________________________
School Attends______________________ Grade________
Instruments at home_______________________________
How did you hear about us?____________________
COURSE:
___10-lesson Group Piano Class - PreK-11 yr olds ($70 enrollment fee due)
___10-lesson Group Piano Class - teens/adults ($30 enrollment fee due)
___Junior Music Camp ($120 due)
___"Intro to Piano" Camp ($80 due)
___Toddler Classes ($70 due)
Session:____ Dates:______________ Time:_________
*With the exception of infants who remain in infant seats, siblings are not allowed in any Harmony Road class.
**Due to the nature of the program makeup lessons are not available for classes missed. There are no refunds.
Mail form and fee to:
Harmony Road Music School
5381 Truxtun Ave.
Bakersfield, CA 93309
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