Name

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Last

Phone

Address

Address Line 1

Address Line 2

City

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Zip/Postal

Country

High School Graduation Year

Participant Age

Will a parent or teacher be joining you?

Name of Parent/Teacher in Attendance.

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Last

Private Instructor

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Last

Email of Instructor

Current School

All attendees are encouraged to participate in mini lessons, either through performance or observation. We will do our best to accommodate your top two faculty preferences, but placement cannot be guaranteed and will depend on registration numbers and availability. Please select your first- and second-choice faculty members below.

First choice faculty member for mini lesson. (Please select from drop-down menu.)

Second choice faculty member for mini lesson. (Please select from drop-down menu.)

What work would you like to present at the mini lesson (Title/Composer)?

Dietary Restrictions (Click as many as applicable)

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Emergency Contact

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Emergency Contact Phone Number

How did you hear about Piano@TCU? If you saw our Piano@TCU flyer online or on social media, please specify the platform.