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CHBC
Student Registration
Student Name
*
First
Last
Parent/Guardian (if under 18 years of age)
*
First
Last
Mailing Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
-
-
Email
*
Student's School (if under 18 yeras of age)
*
Student Grade (if applicable)
*
K5
1
2
3
4
5
6
7
8
9
10
11
12
Grad
Student's Age
*
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18+
If over 18 years of age select 18+
Previous Years of Lessons
*
0
1
2
3
4
5
6
7
8
9
10+
Skill Level
*
Beginner
Intermediate
Advanced
Artist
Preferred Lesson Time
*
Morning
Afternoon
Evening
Preferred Instructor
*
Shellie Beman- Voice
Kevin Suiter- Voice
Cheryl Bishop- Voice
Cheryl Bishop- Flute
Dawn Lewis- Flute
Jim Bishop- Trumpet, Euphonium, French Horn, Trombone
Becky Fant- Piano and Hymn Playing
Grace Suiter- Piano
Loy Hetrick- Trombone, Euphonium, Tuba
Sharon O'Connell- Appalachian Specialist
Joe Fant- Guitar
We will do our best to place you with your preferred instructor. Availability varies depending on the number of openings in their studio.
Instrument(s)
*
Other Comments
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