Registration

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Welcome to Mad Music! To register for music lessons, please fill out and complete the form below. Please note this is only registration. No enrollments or payments will happen until you call and speak with a Mad Music Member.

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Referral Information
Family Information
Where do you live?
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
(Emails are kept confidential)
Student #1
Additional Info
Required Policies
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Questions or Concerns
Payment Information