Membership Application Form

ENROL 2084 - Kids on Keys Music School NERANG

To be enrolled in the class of your choice, please return form ASAP
Student Name

First NameLast Name
Birth Date

MonthDayYear
Parent Name
E-mail
Home Number

Area CodePhone Number
Mobile Number

Area CodePhone Number
Class Type (select all that apply)

Mini Musicians (3-4 years)Little Musicians (group piano 5-10 years)Vocal Performance ProgramPrivate PianoPrivate FlutePrivate Singing
Preferred day (s)

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ENROL 2084 - Kids on Keys Music School NERANG