Please submit the online form or print out and mail to:

                Maria Mastropaolo

                Department of Music

                University of Evansville
               1800 Lincoln Avenue, Evansville, Indiana 47722
               

 

 Name
 Address
 City State   Zip Code      
 Home Phone        Work Phone 
 E-mail
 Child's Name     Date of Birth 

    Time of day you would be available for lessons: 

   During the day    After school only    After 5:00 p.m.

     Preferred days of the week:

   Monday    Tuesday    Wednesday   Thursday    Friday 

    Additional comments or questions: