Class Registration Form

Please fill out the fields below to pre-register for one of our classes and someone will get back to you to complete the rest of the steps.

Registrant's Name *

First

Last

Registrant's Name

First

Last

Email *

Phone *

Course Name *

Parent or Emergency Contact Name *

First

Last

Parent or Emergency Contact Phone *

Parent or Emergency Contact Email *

Song credits: "Fields of Brooklyn," by Jeremy Kittel, performed by Kittel & Co.

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Steeple Street Music Academy is a nondiscriminatory educational institution.