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
Yes
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)*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levelsSUNDAY ONLY: Piano Duets: Senior levels
YesNo

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)*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levelsSUNDAY ONLY: Piano Duets: Senior levels
YesNo

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)*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levelsSUNDAY ONLY: Piano Duets: Senior levels
YesNo

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)*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levelsSUNDAY ONLY: Piano Duets: Senior levels
YesNo

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)*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levelsSUNDAY ONLY: Piano Duets: Senior levels

Registration Fee to be paid by Credit Card or PayPal
prevnext( X )
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: