MODERN ACADEMY OF MUSIC
2022 Participation form
Student name
Please initial to indicate your understanding of, and agreement with, the following (students not participating need only initial the first item):
For ages 5-11 y.o. at 11:00 – 12:00 p.m., For ages 12-17 y.o. at 10:00 – 11:00 a.m. (minimum 2 rehearsals are required to attend to perform on the recital with a group songs)

Total (manually)
Payment method:
Parent/Guardian name:
By typing your name below, you agree to the terms set above. Typing your name serves as your signature.
Date
Please return this form no later than December 1 (final registration deadline).
OUR CONTACTS
Feel free to write and call us
+1 463 210 9038
info@maofmusic.com
3351 Redbud Ct., Westfield, IN 46074 USA
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info@maofmusic.com