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Arts and Culture Outreach

 

Arts & Culture Outreach Music Lesson Registration

Personal Information  
Credit or Debit Card payment when registering online.
Please enter in the information for the person registering, then click "Continue..." to proceed to the next step.
First Name
Middle Initial
Last Name
Address Line 1
Address Line 2
City
State
Zip Code
Home Phone
Mobile Phone
Email Address
Heritage
Gender
Photography Release
Birth Date
Parent or Guardian Name
County (Portage, Wood Etc.)
= required field

Instructor
If you have an instructor that you would like to have lessons with, please include their name. If you are uncertain you can leave it blank or check out the link below for the list of current instructors.
Faculty Instructor Information
UWSP Student Instructor Information
Instructor

= required field

Instrument
What instrument would you like lessons on?
Instrument

= required field