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MacPhail Online Piano/Keyboard Classes - Summer 2015: Homeschool Registration

1. Full Name of Parent or Guardian *This question is required.

2. Full Name of Student *This question is required.

3. Student Date of Birth (Month/Date/Year) *This question is required.

4. Student Grade as of Fall 2015 *This question is required.

5. Parent/Guardian Email Address *This question is required. This question requires a valid email address.

6. Parent/Guardian Preferred Phone Number *This question is required.

7. Mailing Address *This question is required.

Street Name:
City:
State or Province:
Zip or Postal Code:

8. Do you meet the eligibility requirements? If so, please check each box as appropriate. *This question is required.

I understand that these sessions are limited to homeschool students only.
We have access to a piano or keyboard.
We have access to a fast-processing computer, and webcam and mic (built into the computer, or attachable)
I agree to complete a brief complimentary tech check with MacPhail in advance of these sessions, to ensure that my technology is all set for the group lessons.

9. Please take 30 seconds to run a quick speed test on your computer: Go to www.speedtest.net, and click "Begin Test". Please jot down numbers for download and upload speeds, and answer questions below: *This question is required.

My download and upload speeds are both at, or above, 1.0 Mbps.
My download and upload speeds fall below 1.0 Mbps. (Unfortunately, your child may not enjoy this online experience, because the MacPhail instructor may not be able to see or hear your child well.)
Other Please enter an 'other' value for this selection.

10. These sessions will take place from your home computer; your student will interact through live video with your MacPhail instructor and other students in the class. Please indicate which sessions work with your schedule. Check all that apply.

M, T, W - June 22, 23, 24 at 11 AM
M, T, W - June 22, 23, 24 at 11:30 AM
M, T, W - June 29, 30, July 1 at 8:30 AM
M, T, W - June 29, 30, July 1 at 9 AM

11. Please feel free to share any other information that may be relevant to your music lessons.