2019 Intro to Music Registration

Intro to Music Registration form. Please complete this form to register. Once you register, the next step is to submit payment.

Student Info

Please provide the Student's Last name.
Please provide the Student's First name.
Please enter Student's valid date of birth.
Please select a grade.

Parent Info

Please provide the Parent's Last name.
Please provide the Parent's First name.
Please provide the Parent's email address.
Please provide a valid street address.
Please provide a valid city.
Please provide a valid state.
Please provide a valid zip.
Please provide a valid cell phone.
Cell Texts OK?*
Can we send text messages to your phone?

Program Info

Please select a T-Shirt size.
Please select an extra T-Shirt size, or choose "No Extra Shirt".
Please enter the name of the accompanying adult.

* indicates required field