New Heart String Ensemble Spring 2023

Who: 6th - 10th graders

Instruments: Violin, viola, cello and double bass

Spring 2023 Meeting Saturdays 1pm - 3:30pm
Tuition: $180

·      Cultivating a servant heart through Christian devotion

·      Friendship formation via group activities

·      Collaboration with other musicians

·      Skill building during ensemble coaching 

·      Celebration with a final concert

Sign in to Google to save your progress. Learn more
Email *
Student name *
Instrument *
Gender *
Date of birth *
MM
/
DD
/
YYYY
School grade as of today *
T-shirt size *
Allergies, medications, other concerns
Student's Music Ensemble Experience  *
Parent/Guardian's name *
Phone Number *
Mailing address *
Parental Consent & Medical Authorization Form
I the undersigned, as the parent or guardian of (students' names) *
PHOTOS/VIDEO
I give my permission for photos/images of my child(ren) to appear in  New Heart String Ensemble photos & videos as long as there is no identifying information shown.
LIABILITY
I, the undersigned, will not hold New Heart Music Ministries staffs and teachers liable for any injuries sustained to my child(ren) while on the premise of New Heart Music Ministries. My signature below indicates my willingness to take full financial responsibility for any and all medical services rendered for the named participant. My signature also serves to indicate my willingness for my health insurance company to be billed for any and all medical fees and services deemed necessary.
I have read and agree to all the Terms and Conditions stated above. *
Parent/Guardian's Name *
Date *
MM
/
DD
/
YYYY
Cancellation Policy
By 3/15/2023 - $30 cancellation fee
After 3/15/2023 - No refund
The online tuition payment link will show after form submission.  
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of New Heart Music Ministries. Report Abuse