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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 confirmation by mail.
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:
___Junior Music Camp ($120 due)
___"Intro to Piano" Camp ($80 due)
___Music & Movement Camp ($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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