Portland Conservatory of Music Online Registration

Registration

Already a customer? Click here to login.

Welcome to Portland Conservatory of Music! Please complete the following registration form. All lesson registrations will require credit card information to complete enrollment.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip/Postal*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)

Military?

Student or Parent Occupation?

Student or Parent Employer?

Contact #1

Contact #1 First Name*

Last Name *

Type

How Can We Contact You?

Home Phone

Work #

Cell # * Receive Text Message Notifications

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell # Receive Text Message Notifications

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Instrument*

*Suzuki Only* book number

There is a $40 registration fee due for each student at enrollment for the 2022-2023 Academic Year.
All lesson registrations will require credit card information to complete enrollment.

Please complete the following registration form and click on the Search button below, then choose your group class.

To enroll in private lessons please fill out our new student availability form here

For any questions, contact us at:
(207) 775-3356 Monday - Friday 9am - 5pm
Or email us: registrar@portlandconservatoryofmusic.org

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Instrument*

*Suzuki Only* book number

There is a $40 registration fee due for each student at enrollment for the 2022-2023 Academic Year.
All lesson registrations will require credit card information to complete enrollment.

Please complete the following registration form and click on the Search button below, then choose your group class.

To enroll in private lessons please fill out our new student availability form here

For any questions, contact us at:
(207) 775-3356 Monday - Friday 9am - 5pm
Or email us: registrar@portlandconservatoryofmusic.org

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Instrument*

*Suzuki Only* book number

There is a $40 registration fee due for each student at enrollment for the 2022-2023 Academic Year.
All lesson registrations will require credit card information to complete enrollment.

Please complete the following registration form and click on the Search button below, then choose your group class.

To enroll in private lessons please fill out our new student availability form here

For any questions, contact us at:
(207) 775-3356 Monday - Friday 9am - 5pm
Or email us: registrar@portlandconservatoryofmusic.org

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Instrument*

*Suzuki Only* book number

There is a $40 registration fee due for each student at enrollment for the 2022-2023 Academic Year.
All lesson registrations will require credit card information to complete enrollment.

Please complete the following registration form and click on the Search button below, then choose your group class.

To enroll in private lessons please fill out our new student availability form here

For any questions, contact us at:
(207) 775-3356 Monday - Friday 9am - 5pm
Or email us: registrar@portlandconservatoryofmusic.org

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell # Receive Text Message Notifications

Additional Info

Student Email

T-Shirt Size

School

Grade Level

Disabilities (Leave blank if NONE)

Special Needs (Leave blank if NONE)

Allergies (Leave blank if NONE)

Medications (Leave blank if NONE)

Immunization Notes

Instrument*

*Suzuki Only* book number

There is a $40 registration fee due for each student at enrollment for the 2022-2023 Academic Year.
All lesson registrations will require credit card information to complete enrollment.

Please complete the following registration form and click on the Search button below, then choose your group class.

To enroll in private lessons please fill out our new student availability form here

For any questions, contact us at:
(207) 775-3356 Monday - Friday 9am - 5pm
Or email us: registrar@portlandconservatoryofmusic.org

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Credit Card

Card Number *

Exp Month *

Exp Year *

Card Nickname

Name as it appears on card *

Address Line 1

Address Line 2

City

State

Zip/Postal*

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Credit Card

Required Policies

(Show-Hide Details)