Summer Music Explorers 2025 Registration Form

2026 Explorer Registration

Summer Music Explorers will run from July 6th through July 31st, 2026 from 9am-2:30pm Monday-Friday at All Newton Music School.
Student's Name*

First NameLast Name
Student's Birthday*

YearMonthDay
Date
Parent/Guardian's Name*

First NameLast Name
Parent/Guardian's Email*
example@example.com
Parent/Guardian's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Please Enter your Address Below:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact (Name)*

First NameLast Name
Emergency Contact's Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Please list your Emergency Contact's Relationship to the Student*
Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeOther
Does your child play a musical instrument?*
Does your child have a friend in the program that you would like for them to be in the same group with?*
When was your child's last tetanus shot? (Month/Year)*
YesNo
If yes, please describe below. If no, leave blank.

2026 Explorer Registration