Student Application

New Student Application

This is the general application to join The Roots of Music (TROM). Please only submit one application per student. You must complete a new form for siblings and multiple applicants. The requirements for admission are as follows: - Students must live/attend school in Orleans Parish. - Students must qualify for free or reduced school lunch. - Students must be ages 9-14 years old.
Student Name*

First NameMiddle NameLast Name
Student Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student Gender*

MaleFemaleOther
Student Age*
Date Of Birth *

MonthDayYear
Date
Student Ethnicity*
Student Phone Number
Please enter a valid phone number.
Student Grade Level*
GRADE LEVEL IN FALL 2025
School Attending in Fall 2025*
School Address *

Street Address

Street Address Line 2

City

Zip Code
School Release Time*

Hour Minutes

AM/PM Option
Student T-Shirt Size*
Student Pant Size*
Parent/Guardian #1 Name*

First NameLast Name
Parent/Guardian #1 Email*
example@example.com
Parent/Guardian #1 Phone Number*
Please enter a valid phone number.
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Email
example@example.com
Parent/Guardian #2 Phone Number
Please enter a valid phone number.
Emergency Contact *

First NameLast Name
Emergency Contact Phone Number *
Please enter a valid phone number.
Relationship to Student*
(Emergency contact relationship to student)
Which instrument does the applicant wish to learn? Chose TWO sections. Placement is based on availability, and instructors reserve the right to help place students where deemed appropriate.
Please list any known medical conditions or ailments to consider regarding the applicant. If there are none to list, please type "N/A" *All Roots students participate in physical activities that range from moderate to strenuous. We must be aware of any medical conditions or ailments that may require accommodations or exclusion from certain activities.*
A medical physical form will be required from all students.
Does the applicant have any dietary restrictions?*
Does the student qualify for free or reduced school lunch at the time of application?*
Does the applicant have any academic accomodations?*
Please accompany a copy of their 504/IEP at the time of their interview.
Does the applicant require any medications?*
The Roots of Music Inc. offers daily bus transportation at no cost to you. Please check any/all boxes that apply. Bus service is provided by a trusted third party contractor. Service may be limited to certain areas. Some restrictions may apply.*

This applicant requires bus service from his/her school to TROM during weekday programming (Mon-Thu).This applicant requires bus service from TROM back home (satellite neighborhood stops) during weekday programming (Mon-Thu).This applicant requires bus service to and from TROM on the weekend (Saturdays).I will NOT require bus service for the applicant.
I understand that by completing an application and enrolling my child into The Roots of Music I give consent and permission for photographic image use. The Roots of Music can use photographs and/or videos of my child for the purposes of advertisement on TROM official website, social media, and other promotional materials to showcase the talent of our musicians.*

I agree to the Photo Release Statement.
By submitting this application, the applicant is not guaranteed a spot in The Roots of Music. Once applications are submitted, they are reviewed by our staff. Parents/Guardians will be notified by a TROM representative, and given a date when the applicant may attend an intake session. There will be documents for the parent/guardian to sign and return before the applicant is allowed to fully participate.*

I have read the above text and agree.
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New Student Application