Student Name *

First Name

Last Name

Parent Contact One *

First Name

Last Name

Parent Contact Two

First Name

Last Name

Student Phone Number

(###)

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Primary Parent Phone Number

(###)

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Secondary Number (or 2nd Parent Number)

(###)

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Please select the instrument(s) you are registering for *

piano

guitar

voice

cello beginner

viola beginner

Vocal Ensemble

Songwriting

Please select the term you are registering for *

Summer 2024 (June to August)

Fall 2024 (September to December)

What are your preferred days to meet? *

Monday

Wednesday

Thursday

Saturday

Please select your class meeting frequency *

twice weekly

Once weekly

twice monthly

once monthly

Please check that you understand our regsitration fee policy *

A registration fee is due upon completion of this form. You will receive an invoice after submission. The registration fee is $45 per child for the 2023 Spring and Summer Semesters. If you participate in spring and summer courses, your fall 2023-24 registration fees will be waived.

I understand and agree to this policy

Please enter Today's Date

MM

DD

YYYY

Please confirm your submission *

Please type our full name to confirm you agree to and understand everything in your registration agreement: 1. Payment is due prior to or at the start of lessons 2. There are no refunds on lessons, however a registration can be canceled prior to the start of lessons up to FIVE business days after purchase 3. Missed lessons will either be made up or skipped depending on frequency of cancellation and instructor's availability 4. Frequent cancellations may result in the loss of your reserved day and time 5. All students and parents are asked to participate in at least two events per year either by performing or volunteering for the organization

First Name

Last Name