Illinois Music Association 2026
Piano Duets Registration Form
Teacher/Studio Name
*
First Name
Last Name
Teacher/ Studio Phone Number
*
Please enter a valid phone number.
Teacher/ Studio Email
*
example@example.com
Teacher/ Studio Address
*
Street Address
Street Address Line 2
City
State / 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.
*
Yes
Rules
Registration Information
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Student 1 Name
*
First Name
Last Name
Student 1 Age
*
Student 1B DUET - 2nd Student Name
*
First Name
Last Name
Student 1B DUET - 2nd Student Age
*
Student 1 Piano Duets (Select Level/ Song)
*
Student 1 Duet Day (Select proper Day/Level)
*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levels
SUNDAY ONLY: Piano Duets: Senior levels
Submit a 2nd student? (Press Next after your selection)
*
Yes
No
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Student 2 Name
*
First Name
Last Name
Student 2 Age
*
Student 2 DUET - 2nd Student Name
*
First Name
Last Name
Student 2 DUET - 2nd Student Age
*
Student 2 Piano Duets (Select Level/ Song)
*
Student 2 Duet Day (Select proper Day/Level)
*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levels
SUNDAY ONLY: Piano Duets: Senior levels
Submit a 3rd student? (Press Next after your selection)
*
Yes
No
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Student 3 Name
*
First Name
Last Name
Student 3 Age
*
Student 3 DUET - 2nd Student Name
*
First Name
Last Name
Student 3 DUET - 2nd Student Age
*
Student 3 Piano Duets (Select Level/ Song)
*
Student 3 Duet Day (Select proper Day/Level)
*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levels
SUNDAY ONLY: Piano Duets: Senior levels
Submit a 4th student? (Press Next after your selection)
*
Yes
No
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Student 4 Name
*
First Name
Last Name
Student 4 Age
*
Student 4 DUET - 2nd Student Name
*
First Name
Last Name
Student 4 DUET - 2nd Student Age
*
Student 4 Piano Duets (Select Level/ Song)
*
Student 4 Duet Day (Select proper Day/Level)
*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levels
SUNDAY ONLY: Piano Duets: Senior levels
Submit a 5th student? (Press Next after your selection)
*
Yes
No
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Save
Student 5 Name
*
First Name
Last Name
Student 5 Age
*
Student 5 DUET - 2nd Student Name
*
First Name
Last Name
Student 5 DUET - 2nd Student Age
*
Student 5 Piano Duets (Select proper Day/Level)
*
Student 5 Duet Day (Select proper Day/Level)
*
SATURDAY ONLY: Piano Duets: Cadet through Intermediate levels
SUNDAY ONLY: Piano Duets: Senior levels
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Registration Fee to be paid by Credit Card or PayPal
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( X )
IMA Member Duet
(Per duet)
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Non Member Duet
(Per duet)
$
46.00
Quantity
0
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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