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First Name (parent/adult) (required)

Last Name (parent/adult) (required)

If you are registering through one of our partner after school programs, please select it here:
-- Choose your after school program--No school programStoddert Extended DayLudlow Extended DayHyde Extended DayInnovation LearningAvon After SchoolCanton After SchoolDarien After SchoolGreenwich After SchoolMilford After SchoolRidgefield After School

Your Email (required)

Your Phone Number(required)

Lesson Type
-- Choose your lesson type--Rhythms of the WorldViolinGuitarPianoRecorder

Student First Name

Student Last Name

Student Grade Set
-- Choose the student's grade set--K-2nd3rd-5th

Do You Need a Rental Instrument?
-- Do You Need a Rental Instrument?--YesNoRenewing

If yes, please complete Your Street Address:

Your City:

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