Music Theory Registration Form-Summer 2009

Please check the individual class descriptions for dates, times and registration information.

Please provide the following information to register for Music Theory:

Child name (First, M.I., Last)
Birthdate
Gender	Female Male
Parent name (First, M.I., Last)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
E-mail
Home phone
Class choice	Theory 101 Theory 201 Theory 301 Composition
Helpful comments

Enter code displayed above:
(We do this to cut down on spam.)

You will receive verification of your class reservation by e-mail. Once verified, payments may be sent to Lawrence Academy of Music, 711 East Boldt Way, Appleton, WI 54911-5626 within two weeks to hold your space in class.

Lawrence Academy of Music
Copyright ©2009 Lawrence University. All rights reserved.
Revised: 04/30/2009