Musik Garten Interest Form

Musik Garten Interest Form

Please Complete and submit the form below and you will be contacted with class times once they become available.
Parent's Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
Child's Full Name*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Age in Years*
School Grade*
Gender*

FemaleMale
Notes to Course Instructor:
Has your child done any Music Class before?*

YesNo
Previous Music Class Name & Level
How did you hear about us? *
What Day/Time Can you attend a 20 minute demo class? Choose from the options below:

We will email you once a demo class has been scheduled on a future date at one of these listed times based on majority availability.
Mondays

9am10 am11 am
Tuesdays

9am10 am11 am
Wednesdays

9am10 am11 am
Thursdays

9am10 am11 am
Fridays

9am10 am11 am
Saturdays

9am10 am11 am1 pm2 pm3 pm4 pm
Additional Notes
Should be Empty: