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Web Cam Lesson Registration

Student First Name: *
Student Last Name: *
Gender: *
Grade in School *
School Attending Currently *
E-mail Address: *
Parent E-mail Address: *
2nd Parent Email Address
Home Phone Number: *
Street Address: *
Address Line 2:
City: *
Postal Code: *
Fathers Name
Cell Phone
Mothers Name
Cell Phone
If Experienced- Select Instrument *
Years in Band/Weekly The Music Hutch Studio
If Beginner - Select 3 Instruments of InterestFlute
Alto Saxophone
Emergency Contact: *
Relationship: *
Phone Number: *
Cell Number: *
Comments / Questions:

Verification Code:
Enter Verification Code: *

* Required



Remember to go to smartmusic.com and purchase a one-year subscription and download the program to your computer. Also, the Smart Music microphone works best for recording band assignments. You can order one from that web site as well.