Community Music School

Guitar Lesson Registration

Guitar Lesson Registration
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Student Information

Parent Information

Emergency Contact Information

Experience

Parent Instructions and Confirmation

Check here if you do not give permission for pictures or name of student to be used for publicity in publications such as, but not limited to, newsletters, newspapers and magazines, and WIU brochures.

Parent signature for permission to enroll.

Date:

Registration Information

Checks payable to: Community Music School

Please make your checks payable to "WIU Community Music School" and give payment directly to the director at the first rehearsal of the semester OR mail check to:

Richard Cangro, CMS Director

Western Illinois University

1 University Circle

Macomb, IL 61455