Ryckman Piano Registration: Ukulele

Easily apply for the Ukulele Summers, or Ukulele Winters program.

Ukulele Summers typically runs for 6-weeks in the months July-August.

Ukulele Winters typically runs for 5-weeks in the months January-February.

Name of Student*

First NameLast Name

Name of Parent/Guardian*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

6. Phone*

Format: (000) 000-0000.

Ukulele Summers (2025): Soprano Class: Ages 4-6Ukulele Summers (2025): Concert Class: Ages 7-9Ukulele Summers (2025): Tenor Class: Ages 10-12Ukulele Summers (2025): Baritone Class: Ages 13+Ukulele Winters (2026): Soprano Class: Ages 4-6Ukulele Winters (2026): Concert Class: Ages 7-9Ukulele Winters (2026): After-School Class: Ages 6-8

Yes, I would like to purchase a ukulele from Ryckman Piano ($60).No, I have my own.

8. Additional Comments/Questions? (Opt)

How can we help?

Yes, I consent to Ryckman Piano's use of my/my child's photograph, or video, to promote events, and to use as marketing on websites, social media posts, posters, or other.No, I do not consent to Ryckman Piano's use of my/my child's photograph, or video.

I understand and have read/signed Ryckman Piano's policies.I understand lesson fees, cancellation fees, and one-time fee policies.I understand where to go for lessons, and how to contact Ryckman Piano, if needed.I consent to my/my child's participation in special events associated with Ryckman Piano, such as recitals, etc., understanding that these are optional (but recommended) community events.

12. Please sign & date this form.*

Today's Date*

Date