Music Recital Registration Form

Music Recital Registration Form
We are excited to invite you to participate in our June 2025 Music Recital on Sunday, June 15th, 2025 held at the Hermosa School of Dance & Music (1151 Aviation Blvd. Hermosa Beach)

* Our bi-annual music recitals give the student a chance to share their musical achievements with their family and friends. The recitals are totally optional and require a willing heart and a thumbs-up from the student’s instructor.
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Contact Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Is the student above interested in performing in the upcoming Music Recital?*

YES, I would like to perform in the recitalNO, I would like to wait until the next recital.
Lesson Type*

PianoVoiceViolinGuitarBass GuitarDrumsSongwriting

- Performer Questions -

Please enter the Student Performance Details Below (or all that you know at this point. It is more important that we know that you are planning to perform than what the exact song title is. The student's teacher will help narrow down the song choice if you are unsure.)
- Exact performance times will be figured out once we have all of the student RSVP's. Teachers will have specific blocks of times scheduled for their students.
Instructor's Name :*
Instructor's song suggestion:
(Leave blank if you are unsure)
What instrument(s) will the student be playing?*
Please note if you are singing and playing together (ie. Piano w/Voice or Singing w/Guitar...)
How many total family members will be performing in the recitals?*
(If more than one, please submit a separate enrollment form for each student - so we can get all details needed.) Thank you!
Other Notes?
(please list any other notes you may have here about the performance)
Invoice Type

Tickets :

Music Recital Tickets$5.00

Quantity : (The performer does NOT need a ticket)

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country