After School Music Program Registration
Please fill out one registration form per student enrolling
Student Name
*
First Name
Last Name
Age
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Parent Name
*
Session
*
Please Select
Fall Sept 15- Nov 1
Spring
Summer
Payment Options
*
Please Select
Charter Funds
Private Pay
List of Classes
*
Please Select
Group Guitar 3:00-3:45
Group Piano 4:00-4:45
Submit
Should be Empty: