Music
Classes
Instruments
Student Registration
First Name
Last Name
Address #1
Address #2
City
State
ZIP
Intesrested Instrument
Piano
Electric keyboard
Organ
Violin
Guitar
Flute
Clarinet
Saxophne
Trumpet
Other
Age
Grade
Goal (check one)
Hobby
Band
Solo
Group
Merit Examination
Previous Experience(check all that apply)
Intermediate
Advanced
Recreational
Band
Comments?
Fremont Music Bazaar • 5512 Palm Av• Fremont, CA 94538 • 1 (800) 555-4422
