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Music Student for a Day Registration Form: Instrumental

Complete the form below to register for the February 13, 2013, Music Student for a Day Instrumental program.

Please note: the deadline for registration is January 28, 2013.

All fields are required except as noted.

Student Information





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Program of Interest
Primary Performance Medium
Secondary Performance Medium
School Information


(Optional)

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Parent Information


  • Music Department
  • Cogswell Hall, Room 103
    422 South Eleventh Street
    Indiana, PA 15705-1071
  • Phone: 724-357-2390
  • Fax: 724-357-1324
  • Office Hours
  • Monday through Friday
  • 8:00 a.m.– 4:00 p.m.