Music School Registration Form

A Drummers World Drumline & Performing Arts School

New Student Registration Form
Name of Parent/ Person responsible for paying fees

First NameLast Name
Parent/ Person Responsible Phone Number

Area CodePhone Number
Parent/ Person Responsible Email
example@example.com
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Legal Release and Policy Acceptance

( Please read and sign below)
I/we understand the studio rules

I/we understand the risks related to dance

I/we understand the dress code

I/we give media use rights permission

I/we understand billing obligations & late fees

I/we understand the schedule

I/we understand the attendance requirements
Parent/ Person Responsible Signature*

Clear
Student Signature*

Clear
Date of Signature(s)*

MonthDayYear
Date
Team Interested In*
Student Allergies
Registration Fee for A Drummers World Drumline: $20.00

Yearly Fee for Boys and Girls Club of America: $25.00

Monthly Tuition for A Drummers World Drumline: $25.00 a month

All payment should be paid in the "COMPLETE STEP ONE " LINK
Should be Empty:

A Drummers World Drumline & Performing Arts School