Get Enrolled

Submitting the following form will initiate the enrollment process.  You will also be required to sign the parent permission form before your student can attend lessons.

Consent-to-Participate-Form.pdf

Parent permission form to participate in music education program and waiver.

Student Information:
First Name:*
Last Name:*
Date of Birth:*
Does the student already play an instrument?*
YesNo
What school does the student attend?*
Student Grade:*
Is your student interested in joining other community orchestra/performing groups?*
YesNo
Is your student currently enrolled in an orchestra/performing group at school?*
YesNo
Parent/Guardian One Information
First Name:*
Last Name:*
Place of Employment:*
Occupation:*
Cell/Primary Phone:*
Work Phone:
Home Phone:
Street Address:*
City:*
State:*
ZIP / Postal Code:*
Parent/Guardian Two Information
First Name:
Last Name:
Place of Employment:
Occupation:
Cell/Primary Phone:
Work Phone:
Home Phone:
Street Address:
City:
State:
ZIP / Postal Code:
Emergency Contact:
First Name:*
Last Name:*
Relationship to Student:*
Cell/Primary Phone:*
Work Phone:
Home Phone: