Registration Form
Fill out this form and click "Submit". Information regarding classes, what to bring, and payment plans will be sent to you upon receipt of this form. Expect to hear from us soon! Thank you.
Name:
Phone:
Instrument:
Birth date:
Parent/Guardian
Address:
E-mail:
Please describe your child and his/her and your interest in playing violin/guitar. If your child already plays, please provide information about current studies.
Enter security code:

Or you may print this form and mail it to:

In My Backyard
194 Christie Heights St.
Leonia, NJ 07605

© In My Backyard, 2009

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