Semester Registration

REGISTRATION FORM

* Indicates required field

Student Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

PRIMARY CONTACT *

First

Last

Instrument *

Level *

**For lesson time availability and tuition, please contact us!

Comment *

Submit

ANNUAL REGISTRATION FEE per family is $35.00. Checks made payable to Long Ridge Music Center. A completed registration form with all applicable fees must be submitted before lessons are scheduled. Please note: Because LRMC provides lessons for both public and private school students; we are unable to adhere to a specific school calendar.

REGISTRATION

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