2024-2025 Registration
Welcome to Make Music NOLA!  
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Email *
Parent/Guardian Information
Let us know a little about you by taking the time to fill in every line.  You will need contact information for ONE other adults to reach in case of an emergency.
If you have any questions, please do not hesitate to email us at Music@makemusicnola.org
Thank you. 
What is your First Name (parent/guardian)? *
What is your Last Name (parent/guardian)?
What is your COMPLETE address? *
What language do you prefer to be contacted in?
Check all that apply
 *
Required
What is your phone number including area code?
 *
What is your email address? *
Would you like to participate in our MMN Parent Volunteer Committee?  *
Who is the second person we can contact if you cannot be contacted? (First name and last name)
 *
What is the second contact's relationship to your student
 *
What language does the second contact prefer?
 *
Required
What is the second contact's phone number including area code?
 *
What is the second contact's complete address?
 *
Who is the third person we can contact if you cannot be contacted? (First name and last name)
 *
What is the third contact's relationship to your student?
 *
What language does the third contact prefer?
 *
What is the third contact's phone number including area code?
What is the third contact's complete address?
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