Red School of Music Online Registration

Registration

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Welcome to Red School of Music! Please complete the following registration form to sign up for lessons or classes. Upon completion, you will be directed to the parent portal to make lesson selections and your payment. Making payment completes the process and confirms your 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*

Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

Type*

How Can We Contact You?

Home Phone

Work #

Cell # *

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 #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Cell #

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)

Schedule preferences:

Instrument/Lesson Type:

Previous experience/training*

Please click on the Search button below, then choose the class.

If you don't find a spot that fits your schedule, you can still be waitlisted by filling out "Scheduling Preferences" with your preferred schedules.

Questions? Text us at (937) 828-4733! Please make sure that you have filled in this registration form first (class selection not required) to expedite your enrollment.

Enroll in Classes

Select Another Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Cell #

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)

Schedule preferences:

Instrument/Lesson Type:

Previous experience/training*

Please click on the Search button below, then choose the class.

If you don't find a spot that fits your schedule, you can still be waitlisted by filling out "Scheduling Preferences" with your preferred schedules.

Questions? Text us at (937) 828-4733! Please make sure that you have filled in this registration form first (class selection not required) to expedite your enrollment.

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Cell #

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)

Schedule preferences:

Instrument/Lesson Type:

Previous experience/training*

Please click on the Search button below, then choose the class.

If you don't find a spot that fits your schedule, you can still be waitlisted by filling out "Scheduling Preferences" with your preferred schedules.

Questions? Text us at (937) 828-4733! Please make sure that you have filled in this registration form first (class selection not required) to expedite your enrollment.

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Cell #

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)

Schedule preferences:

Instrument/Lesson Type:

Previous experience/training*

Please click on the Search button below, then choose the class.

If you don't find a spot that fits your schedule, you can still be waitlisted by filling out "Scheduling Preferences" with your preferred schedules.

Questions? Text us at (937) 828-4733! Please make sure that you have filled in this registration form first (class selection not required) to expedite your enrollment.

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender

Birth Date* (format=mm/dd/yyyy)

Cell #

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)

Schedule preferences:

Instrument/Lesson Type:

Previous experience/training*

Please click on the Search button below, then choose the class.

If you don't find a spot that fits your schedule, you can still be waitlisted by filling out "Scheduling Preferences" with your preferred schedules.

Questions? Text us at (937) 828-4733! Please make sure that you have filled in this registration form first (class selection not required) to expedite your enrollment.

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

e-Payment Schedule*

Please fill out CREDIT CARD Payment Method

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*

eCheck/Bank Draft

Bank Name

Account Type

Your Account Name (Your name on your bank statement)

Bank Routing Number (9-digit number)

Account Number

Registration

Welcome to Red School of Music! Please complete the following registration form to sign up for lessons or classes. Upon completion, you will be directed to the parent portal to make lesson selections and your payment. Making payment completes the process and confirms your enrollment.

Referral Information

Family Information

Where do you live?

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

Account Information

Credit Card

eCheck/Bank Draft

Required Policies

(Show-Hide Details)