Northside School of Music Online Registration

Registration

Already a customer? Click here to login.

Welcome to Northside School of Music!

Programming is billed monthly on the 1st. Select a tier or enter your own rate in the Comment Box.

Demographics: We ask this to ensure community equity. Enter N/A if you prefer not to disclose.

* 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*

Additional Info

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

Preferred language

Military or veteran status?

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*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Disabilities (N/A if NONE)*

Special Needs (N/A if NONE)*

Allergies (N/A if NONE)*

Ethnicity *

Preferred Pronouns*

Instrument to learn*

Scholarship Y/N?*

Orientation Scheduling

Schedule Your Orientation Orientations are held every Tuesday. Need a different day? We are happy to coordinate by appointment!

Call: 612-747-0472 Text: 612-516-5383 Email: notes@northsidemusic.org

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Disabilities (N/A if NONE)*

Special Needs (N/A if NONE)*

Allergies (N/A if NONE)*

Ethnicity *

Preferred Pronouns*

Instrument to learn*

Scholarship Y/N?*

Orientation Scheduling

Schedule Your Orientation Orientations are held every Tuesday. Need a different day? We are happy to coordinate by appointment!

Call: 612-747-0472 Text: 612-516-5383 Email: notes@northsidemusic.org

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Disabilities (N/A if NONE)*

Special Needs (N/A if NONE)*

Allergies (N/A if NONE)*

Ethnicity *

Preferred Pronouns*

Instrument to learn*

Scholarship Y/N?*

Orientation Scheduling

Schedule Your Orientation Orientations are held every Tuesday. Need a different day? We are happy to coordinate by appointment!

Call: 612-747-0472 Text: 612-516-5383 Email: notes@northsidemusic.org

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Disabilities (N/A if NONE)*

Special Needs (N/A if NONE)*

Allergies (N/A if NONE)*

Ethnicity *

Preferred Pronouns*

Instrument to learn*

Scholarship Y/N?*

Orientation Scheduling

Schedule Your Orientation Orientations are held every Tuesday. Need a different day? We are happy to coordinate by appointment!

Call: 612-747-0472 Text: 612-516-5383 Email: notes@northsidemusic.org

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Birth Date*

Cell #

Additional Info

Student Email

School

Grade Level*

Disabilities (N/A if NONE)*

Special Needs (N/A if NONE)*

Allergies (N/A if NONE)*

Ethnicity *

Preferred Pronouns*

Instrument to learn*

Scholarship Y/N?*

Orientation Scheduling

Schedule Your Orientation Orientations are held every Tuesday. Need a different day? We are happy to coordinate by appointment!

Call: 612-747-0472 Text: 612-516-5383 Email: notes@northsidemusic.org

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Membership Type*

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

Orientation Scheduling

Enroll in Classes

Student #2 (Show-Hide Details)

Additional Info

Orientation Scheduling

Enroll in Classes

Student #3 (Show-Hide Details)

Additional Info

Orientation Scheduling

Enroll in Classes

Student #4 (Show-Hide Details)

Additional Info

Orientation Scheduling

Enroll in Classes

Student #5 (Show-Hide Details)

Additional Info

Orientation Scheduling

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Required Policies

(Show-Hide Details)