Kenerly Music Studio

HOME

ONLINE CLASS REGISTRATION

Person Completing Form: *
Name of Student:
Physical Address:
City:
State:
Zip code:
Day Time Phone: *
Night Time Phone:
E-mail: *
Student Date of Birth:
Attended KMS Previously *	Yes No
Choose Class(s) of Interest	Note Reading Piano Theory/Play by Ear Song Consultation One Day Workshop
Registration Pricing	Individual Lesson (Adult) ($25) Monthly Classes (Adult) ($85) Monthly Classes (Child under 12) ($75) Total : $0
Additional Information:

Data Protection:
All information supplied will be treated confidentially and used only for the purposes of your
application and subsequent related correspondence.

COURSES WE OFFER
● Traditional Gospel	● General Piano Theory	● Pop Music
● Contemporary Gospel	● Traditional Jazz	● Doo-Wop and 50s
● Praise Worship	● Modern or "Lite" Jazz	● Song Consultation (Help with a specific song)