First Steps in Music at Purdue Fort Wayne

First Steps in Music classes at Purdue Fort Wayne have been generously sponsored by the Fort Wayne Children’s Choir

Thursdays: June 13, 27, July 11, 18, 25

Modular Classroom Building, Room 102/106

Purdue University Fort Wayne

2101 E Coliseum Blvd

Fort Wayne, IN 46805

 

0-3 Years Old: 5:00-5:30pm

3-5 Years Old: 5:30-6:00pm

First Steps in Music Registration

 

1. Select a class below

2. Complete and submit the form to register for a First Steps class.

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Thursdays at Purdue Fort Wayne, 0-3 Years Old, 5:00-5:30pm

    SINGER INFORMATION

    Singer's Name:
    FIRST LAST
    Birth Date: (MM/DD/YYYY)
    Race*: BlackAsianBi-racialCaucasianLatinxOther
    *This information helps us apply for funding for this program, and ensure that we are reaching all demographics.

    Select the class you are registering for:


    PARENT/GUARDIAN INFORMATION

    Name:
    FIRST LAST
    Address:
    City:
    State:
    Zip:
    Cell Phone:
    Caregiver attending with child (if different from above):

    IMPORTANT:
    Please enter the primary email address in which you prefer we communicate:


    HOW DID YOU HEAR ABOUT US?

    If you selected "other" above, please explain:


    PHOTOGRAPHY RELEASE:
    I give my permission for my child’s image to be used in all marketing materials.

    Comments, Additional Information, or any Special Health Concerns:

    Important! Please be sure to review this form and verify that all of the required fields are complete prior to submitting. If you are unable to submit the form or receive an error message, please call the Fort Wayne Children's Choir office at (260) 481-0481.

    Thursdays at Purdue Fort Wayne, 3-5 Years Old, 5:30-6:00pm

      SINGER INFORMATION

      Singer's Name:
      FIRST LAST
      Birth Date: (MM/DD/YYYY)
      Race*: BlackAsianBi-racialCaucasianLatinxOther
      *This information helps us apply for funding for this program, and ensure that we are reaching all demographics.

      Select the class you are registering for:


      PARENT/GUARDIAN INFORMATION

      Name:
      FIRST LAST
      Address:
      City:
      State:
      Zip:
      Cell Phone:
      Caregiver attending with child (if different from above):

      IMPORTANT:
      Please enter the primary email address in which you prefer we communicate:


      HOW DID YOU HEAR ABOUT US?

      If you selected "other" above, please explain:


      PHOTOGRAPHY RELEASE:
      I give my permission for my child’s image to be used in all marketing materials.

      Comments, Additional Information, or any Special Health Concerns:

      Important! Please be sure to review this form and verify that all of the required fields are complete prior to submitting. If you are unable to submit the form or receive an error message, please call the Fort Wayne Children's Choir office at (260) 481-0481.

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