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: