Illinois Music Association 2026
Violin 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 Email (not required)
example@example.com
Student 1 Age
*
Student 1 Violin (Select Level/ Song)
*
Student 1 Day Selection
*
Sunday Mandatory
Submit a 2nd student? (Press Next after your selection)
Yes
No
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Student 2 Name
*
First Name
Last Name
Student 2 Email (not required)
example@example.com
Student 2 Age
*
Student 2 Violin (Select Level/ Song)
*
Student 2 Day Selection
*
Sunday Mandatory
Submit a 3rd student? (Press Next after your selection)
Yes
No
Back
Next
Student 3 Name
*
First Name
Last Name
Student 3 Email (not required)
example@example.com
Student 3 Age
*
Student 3 Violin (Select Level/ Song)
*
Student 3 Day Selection
*
Sunday Mandatory
Submit a 4th student? (Press Next after your selection)
Yes
No
Back
Next
Student 4 Name
*
First Name
Last Name
Student 4 Email (not required)
example@example.com
Student 4 Age
*
Student 4 Violin (Select Level/ Song)
*
Student 4 Day Selection
*
Sunday Mandatory
Submit a 5th student? (Press Next after your selection)
Yes
No
Back
Next
Student 5 Name
*
First Name
Last Name
Student 5 Email (not required)
example@example.com
Student 5 Age
*
Student 5 Violin (Select Level/ Song)
*
Student 5 Day Selection
*
Sunday Mandatory
Submit a 6th student? (Press Next after your selection)
Yes
No
Back
Next
Student 6 Name
*
First Name
Last Name
Student 6 Email (not required)
example@example.com
Student 6 Age
*
Student 6 Violin (Select Level/ Song)
*
Student 6 Day Selection
*
Sunday Mandatory
Submit a 7th student? (Press Next after your selection)
Yes
No
Back
Next
Student 7 Name
*
First Name
Last Name
Student 7 Email (not required)
example@example.com
Student 7 Age
*
Student 7 Violin (Select Level/ Song)
*
Student 7 Day Selection
*
Sunday Mandatory
Submit a 8th student? (Press Next after your selection)
Yes
No
Back
Next
Student 8 Name
*
First Name
Last Name
Student 8 Email (not required)
example@example.com
Student 8 Age
*
Student 8 Violin (Select Level/ Song)
*
Student 8 Day Selection
*
Sunday Mandatory
Submit a 9th student? (Press Next after your selection)
Yes
No
Back
Next
Student 9 Name
*
First Name
Last Name
Student 9 Email (not required)
example@example.com
Student 9 Age
*
Student 9 Violin (Select Level/ Song)
*
Student 9 Day Selection
*
Sunday Mandatory
Submit a 10th student? (Press Next after your selection)
Yes
No
Back
Next
Student 10 Name
*
First Name
Last Name
Student 10 Email (not required)
example@example.com
Student 10 Age
*
Student 10 Violin (Select Level/ Song)
*
Student 10 Day Selection
*
Sunday Mandatory
Back
Next
Registration Fee to be paid by Credit Card or PayPal
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( X )
IMA Member
$
37.00
Quantity
1
2
3
4
5
6
7
8
9
10
Non Member
$
42.00
Quantity
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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