Music Makers... for Life Registration Form

If you need to contact us, you may find us at:

Music Makers...For Life, Inc. 

256 Oak Street, Suite E

Crystal Lake, IL 60014

815-444-9444

Email us with questions at: musicmakers4life@gmail.com


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Email *
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Student's Name *
Student's Age *
Student's Birthday *
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Student's School and Grade (if applicable)
Parent or Guardian Name *
Mailing Address *
Best phone number to reach you at? *
Additional phone numbers:
Best email to reach you at? *
Please check your desired classes or lessons *
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Please list the days and times of the week you are available: *
Do you or your student have any past musical experiences? We'd love to know! *
How did you find us?
Payment Plan *
Payment Processing Information
Please provide your card information so we can get you in our schedule sooner! 

If you'd rather pay over the phone or in-person, please refer to our contact information at the top of this form.
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Card Number
Expiration Date
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I understand and agree to the following:

I hereby release, indemnify and hold harmless Music Makers..for Life, Inc., its owners, employees and agents of these parties from all liabilities, suits, claims and/or demands of any kind or nature, legal or financial. Whether caused in any way by negligence or not, arising from the participation in or observation of any Music Makers School activity for injuries to any person or property, whether on or off the premises. The student/participant name below does voluntarily participate in any and all Music Maker’s activities and that the student/participant and I understand that certain risks are inherent to and from participation and involvement with Music Maker’s school, activities, and performances. Music Makers School is not responsible for any lost or stolen property, at any time. I also hereby release, indemnify and hold harmless the property owners of Music Makers For life from liabilities, suits, claims and/or demands of any kind of nature: legal or financial. I have read the policies, fees, and waivers of Music Makers...for Life, Inc. and agree to adhere to all of them. In addition I give Music Makers the right to use and/or produce photographs, video, movies, and voice recordings of any student in any legal manner for the internal and external promotional and informational activities at Music Makers. Photos and/or video may be published on our website, in our newsletter and social media sites and/or shared with any media. Please inform us if you do not wish to have your child photographed or videotaped in performances, classes, or other venues where media may be involved. Music Maker's will not publish a student's full name unless given permission by a parent. Music Makers is not responsible for other media outlets taking pictures or videotaping during an event. By signing below or through the act of submitting this registration electronically, I give Music Makers...for Life, Inc. permission to charge any credit or debit card number on file the day of the last lesson of the month (for the upcoming month) and book charges. I also give my permission to Music Makers to send me newsletters with information about the program, recitals, offers and other news.
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Electronic Signature *
Date *
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Welcome to Music Makers!
Thank you so much for taking the time to fill out our registration form. Someone from our staff will reach out to you shortly. Enjoy your musical journey!
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