Registration
New Student Information Session Registration

Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)
 
 
 
Questions/Options:
Student's Full Name:*
Student Age:*
Instrument: (Piano/Violin/Viola/Cello/Bass/
Guitar/Voice/Clarinet/Flute/Percussion)*
Number of Years Playing:
If transferring, name of current teacher/school:
 
Additional Information:
 
 
Other Questions/Comments: