Enrollment Form

Enrollment Form

GVC Music Studio
Person completing this form*

ParentAdult Student
Enrolling 1 or more students this semester?*

1 Student2 students or more (Siblings/Family Members)
Student Name*

First NameMiddle NameLast Name
Lesson Format*

VirtualIn-PersonHybrid
Instrument*
Specify which 2/3 instruments.
Service/Lesson Duration*
Birth Date*

MonthDayYear
Gender*
Student Name 2*

First NameMiddle NameLast Name
Instrument (Stud.2)*
Specify which 2/3 instruments.
Service/Lesson Duration (Stud. 2)*
Birth Date (Stud.2)*

MonthDayYear
Gender (Stud.2)*
Student Name 3

First NameMiddle NameLast Name
Instrument (Stud.3)
Specify which 2/3 instruments.
Service/Lesson Duration (Stud. 3)
Birth Date (Stud.3)

MonthDayYear
Gender (Stud.3)
Student Name 4

First NameMiddle NameLast Name
Instrument (Stud. 4)
Specify which 2/3 instruments.
Service/Lesson Duration (Stud. 4)
Birth Date (Stud.4)

MonthDayYear
Gender (Stud.4)
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student E-mail
example@example.com
Student Phone Number
Parent #1 Full Name*

First NameLast Name
Parent #1 E-mail*
example@example.com
Phone Number (Parent 1)*
Parent #2 Full Name

First NameLast Name
Parent #2 E-mail
example@example.com
Phone Number (Parent 2)
Preferred Schedule For Lessons*

Do not have a specific preference, Can be flexibleTues. Wed. or Thurs. Early Afternoon (12:00-3:30PM)Tues. Wed. or Thurs. Afternoon/Evening (3:30-7:00PM)Saturday Morning (9AM - 1PM)
Preferred Schedule For Drum Lessons*

Do not have a specific preference, Can be flexibleTuesday Evenings (6 - 8 PM)
Type in Day&Time*
Invoices & payments will be processed through the "My Music Staff" platform. Select a secondary payment method as a "back up"*
Photo Release Waiver*

I give legal authorization to GVC Music Studio to take pictures/videos of me and/or my child during studio events and activities for promotional and celebratory purposes.Please do not take pictures/video of me or my child during studio events for any purpose.
Select which experience you/your student(s) would be interested in participating in the future. (Select all that apply)*

Children's ChoirYouth & Adult ChoirVocal group lessonsPiano Group LessonsBand (Piano, Guitar, Bass Guitar, Drum, Vocalists)Musical Theatre workshopsTheme Specific WorkshopsMasterclass by Guest Musician/VocalistSummer Music CampCommunity Performances
Signature*

Clear
Should be Empty: