Registration Form 2024-2025
Please fill out a separate form for each student you are registering. Please note that there is a $20 fee per student associated with registration that goes towards teaching materials used during lessons and administrative fees throughout the year. Thank you!
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Email *
Parent First and Last Name 
If you are registering as an adult student, please write your name.
 *
Student Name(s) and Age(s)
If you are registering as an adult student, please write your name and N/A for age. 
 *
Student(s) Music Grade Level
If you are unsure, please write a few sentences about your child/your music experience.
 *
Some of our students have special learning needs such as ADHD or dyslexia, or have mobility issues like Carpal Tunnel Syndrome. Knowing of these ahead of  beginning lessons helps our teachers tailor their lessons to best suit the the needs of their students. Please write a few sentences below about any of your/your child's conditions if applicable. 

If this does not apply to you, write N/A.
 *
What day of the week would you like to have lessons on? You can select more than one option if more than one day of the week works for you. *
Required
What time of day would you like to have lessons on? You can select more than one option if more than one time of day works for you. *
Required
What lesson length would you like? We typically recommend the following:
- Primer to Level 3: 30 mins
- Level 4-5: 45 mins
- Level 6 and above: 60 mins or more
 *
Required
What frequency of lessons would you like? *
Required
What type of lessons would you like? *
Required
Home Address *
Phone number *
Other Contacts (I.e. Your partner, another guardian, someone else we can reach in case we cannot get in touch with you regarding lessons). Please provide their first and last name, phone number, and email below. *
Will the person above also be your emergency contact? If yes, write "Yes." If no, please provide the first and last name, phone number, and email of your emergency contact below. You can provide more than one emergency contact. *
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