Illinois Music Association Piano Duets Registration 2026

Illinois Music Association 2026

Piano Duets Registration Form
Teacher/Studio Name

First NameLast Name
Teacher/ Studio Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Teacher/ Studio Email
example@example.com
Teacher/ Studio Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I have read the Rules and Registration Information found on the Illinois Music Association Website (link below). Please review your registration information carefully. No changes will be allowed once your registration is submitted.
Rules

Registration Information

Student 1 Name

First NameLast Name
Student 1 Age
Student 1B DUET - 2nd Student Name

First NameLast Name
Student 1B DUET - 2nd Student Age
Student 1 Piano Duets (Select Level/ Song)
Student 1 Duet Day (Select proper Day/Level)
Submit a 2nd student? (Press Next after your selection)

Student 2 Name

First NameLast Name
Student 2 Age
Student 2 DUET - 2nd Student Name

First NameLast Name
Student 2 DUET - 2nd Student Age
Student 2 Piano Duets (Select Level/ Song)
Student 2 Duet Day (Select proper Day/Level)
Submit a 3rd student? (Press Next after your selection)

Student 3 Name

First NameLast Name
Student 3 Age
Student 3 DUET - 2nd Student Name

First NameLast Name
Student 3 DUET - 2nd Student Age
Student 3 Piano Duets (Select Level/ Song)
Student 3 Duet Day (Select proper Day/Level)
Submit a 4th student? (Press Next after your selection)

Student 4 Name

First NameLast Name
Student 4 Age
Student 4 DUET - 2nd Student Name

First NameLast Name
Student 4 DUET - 2nd Student Age
Student 4 Piano Duets (Select Level/ Song)
Student 4 Duet Day (Select proper Day/Level)
Submit a 5th student? (Press Next after your selection)

Student 5 Name

First NameLast Name
Student 5 Age
Student 5 DUET - 2nd Student Name

First NameLast Name
Student 5 DUET - 2nd Student Age
Student 5 Piano Duets (Select proper Day/Level)
Student 5 Duet Day (Select proper Day/Level)

Registration Fee to be paid by Credit Card or PayPal
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IMA Member Duet
(Per duet)

$40.00 Quantity

Non Member Duet
(Per duet)

$46.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty: