Student's  Name*    
 (last)
 (first)
Parent's  Name*    
 (last)
 (first)
    CLASS/LESSON PRE-REGISTRATION
   KAREN AMLAW MUSIC
            (All classes/lessons currently held online via ZOOM)
(We look forward to returning to in-person teaching at Downtown Crossing soon).

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Home Phone*    
Student's Birthdate*   
Other Contact Info.   
Email* 
Program of interest
   
How did you hear about this program?
   
Comments
(If you are interested in a particular teacher please note that here)
   
(mm/dd/yy)
(You should instantly receive a confirmation of your pre-registration).
Days Available
   
Please pre-register separately for different programs and note additional interests in comments below.
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(apt. #)
Please enter a second email below if someone other than you will be responsible for scheduling, payments, etc.
Time Possibilities*
(Please comment on your available times - e.g., doesn't matter, weekdays must be after 5:00PM, can do before 4:00 PM, etc.  This will help in planning new classes.)
   
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