I'd like more information about:

Courses for 3½-5 year olds
Courses for 6-8 year olds
Keyboard Encounters Kids (9 - 12)
Keyboard Encounters (adults/teens)
Musical Story Hours
Field Trips for schools
FREE Preview Classes

Parent's Information:

Parent's Name
Address
City State Zip
Phone Alt. Phone
Email

Child(ren)'s Information:

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Child's Name Age Date of Birth
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Child's Name Age Date of Birth
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Child's Name Age Date of Birth
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Child's Name Age Date of Birth

How did you hear about us? Check all that apply.

Friend
Our Kids Magazine
KLRN Auction
Yellow Pages/Phone Book
Brochure from school
Familiar with sign/Location
Story Hour at library
Internet Search Engine (Yahoo, Google, ...etc.)
Found it surfing the internet