Registration Form
STUDENT’S NAME___________________________________________AGE_____
STUDENT’S NAME___________________________________________AGE_____
STUDENT’S NAME___________________________________________AGE_____
TEACHER’S NAME___________________________________________________
TEACHER’S EMAIL___________________________________________________
TEACHER’S PHONE___________________________________________________
REPERTOIRE:
Include Composer, Title, Opus, Key & Timing
BAROQUE___________________________________________________________
Classical_____________________________________________________________
Romantic/Impressionistic_____________________________________________
Modern______________________________________________________________
FEE:
$35 per student
One check per teacher; payable to SMEA
Checks from parents will not be accepted
SEND TO:
Diane Dollak
44 Horicon Ave.
Oceanport NJ 07757