Mattix Music Singers Registration
Sundays 1:15-2:00pm September 11-May 7, 2023
Student 1: Name
*
First Name
Last Name
Student 1: Date of Birth
*
-
Month
-
Day
Year
Date
Student 1: School & Grade
*
Student 1: Previous music experience
*
Student 1: T-Shirt Size
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Student 2: Name (if applicable)
First Name
Last Name
Student 2: Date of Birth
-
Month
-
Day
Year
Date
Student 2: School & Grade
Student 2: Previous music experience
Student 2: T-Shirt Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about us?
*
We're already students at Mattix Music Studio
Internet search
KidList
Social Media
Referred by a Friend
Other
Tuition
*
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next
( X )
Tuition per family
$
565.00
Enrollment fee per student
$
15.00
Number of Students
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature
*
Clear
Signed by:
*
First Name
Last Name
Submit
Should be Empty: