Register Here

New Hampshire Ensemble Piano Extravaganza Registration

Student Information

Student Name(Required)

First Last

Student Age(Required)

Grade in School(Required)

Piano Teacher Name(Required)

First Last

Parent/Guardian Information

Parent/Guardian Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Emergency Contact Information

Emergency Contact Name(Required)

First Last

Emergency Contact Relationship to Student(Required)

Emergency Contact Phone(Required)

Event Information

Performance Group(Required)

Prelude Group - Students ages 10 - 15 who have had at least 1 year of private piano lessons and play at a comparative level of Faber 2A (Advanced Beginner)

Intermezzo Group - Students ages 10 - 15 who have had at least 2 years of private piano lessons and play at a comparative level of Faber Book 3B / 4A (Early Intermediate)

Permission to Attend(Required)

I give this student permission to attend.

Event Registration Fee(Required)

Price:

New Hampshire Ensemble Piano Extravaganza Registration

Student Information

Parent/Guardian Information

Emergency Contact Information

Event Information

Get In Touch

Email

Mailing Address

Phone