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2021 - 2022 Verellen Music Academy Registration Form
Please fill out all information. Families with more than one child, please fill out one form for each child.
This information helps us give you the best learning experience by celebrating student birthdays, allergies, emergency contact info and more!
Parent/Guardian Section (if applicable)
Instrument(s) you are interested in Learning (Select multiple if this applies)
Skill Level
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General Info Section 
Would you or your child be interested in Royal Conservatory Training?
Would you or your child be interested in any of the following activities?

Thanks for submitting!