Musikgarten Registration

Please use this form to register for Musikgarten classes. At least half of the total amount is due at registration. You will be billed for the remaining amount. Checks are payable to Lebanon Valley College.

Student Name

First

Last

Birthday

Age at the Start of the Semester

Gender

Male

Female

Status

New Student

Returning Student

Parent Name

First

Last

Email Address

Home Phone Number

###

####

Cell Phone Number

###

####

Address

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Course/Tuition Information

Class

Preferred Date and Time (first choice)

Preferred Date and Time (second choice)

Home Materials Preference

Download

Tuition

Discount

Total

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