LMTA Keyboard Olympics Registration Form

LMTA Keyboard Olympics Registration Form
Student Name*

First NameLast Name
School Grade*
Student Email
example@example.com
Level*

PreparatoryLevel 1Level 2Level 3Level 4Level 5Level 6
Teacher Name*

First NameLast Name
Teacher Email*
example@example.com
Teacher Cell Phone*

Area CodePhone Number
Teacher Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select your local affiliate:*

BRMTACENLAGSMTALAMTALCMPTAMDMTANOMTANSMTARAMTANone
Enter the message as it's shown*
My Products
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All THREE Events$50.00

Spontaneous Events$20.00

Prepared Events$20.00

Creative Events$20.00

Total $0.00

Payment Methods

Debit or Credit Card

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