You can always press Enter⏎ to continue
SAT 12:00PM YOUNG ARTISTS CLASS
Please complete the following registration form. We look forward to welcoming your child to an Art Adventure!
14
Questions
START
1
Student's Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Submit
Press
Enter
2
Birthdate
*
This field is required.
-
Date
Year
Month
Day
Previous
Next
Submit
Submit
Press
Enter
3
Parent's Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Submit
Press
Enter
4
Address
*
This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Previous
Next
Submit
Submit
Press
Enter
5
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Submit
Press
Enter
6
Phone Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Submit
Press
Enter
7
ENROLLMENT:
This registration form must be completed and submitted to It's Music Time with the appropriate payment information, signatures, and agreements prior to the first class. A debit or credit card must be on file at IMT unless specific arrangements have been approved by IMT prior to enrollment. Your credit card will be run at the first (1st) of every month until notification of cancellation is received by IMT.
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
8
ATTENDANCE:
Tuition paid to It's Music Time includes one class per week except when IMT is closed for holidays. A calendar will be emailed to you along with confirmation of payment and enrollment. Class times are reserved for your enrolled child.
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
9
CANCELLATION:
You may cancel your child's enrollment in IMT at least five (5) days prior to the first (1st) of the month. Cancellations which have not been made five (5) days before the first (1st) of the month will be automatically charged and your child will be re-enrolled for classes that month.
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
10
REFUNDS:
Tuition paid reserves a spot in a class at a specific time and no refunds or credits shall be issued for missed classes. Make-up classes may be requested, but will be based on availability and not guaranteed. If an extended illness requires you to miss two or more classes, we will offer a one class credit toward the next month's tuition.
*
This field is required.
Previous
Next
Submit
Submit
Press
Enter
11
I agree to the registration and recurring payments.
*
This field is required.
Powered by
Jotform Sign
Clear
Previous
Next
Submit
Submit
Press
Enter
12
I have read the terms of enrollment and registration at It's Music Time and I agree to all terms as listed. I hereby hold It's Music Time harmless for any and all damages, injuries or losses that may be sustained while attending class at It's Music Time.
*
This field is required.
Powered by
Jotform Sign
Clear
Previous
Next
Submit
Submit
Press
Enter
13
I understand that any video or photographs taken during classes may be used by It's Music Time for advertising and promotional purposes. I understand that It's Music Time will never use the videos or photographs for any purpose other than advertising and promotional. Please notify IMT if you do not want your child's image or likeness to be used for promotional material.
Powered by
Jotform Sign
Clear
Previous
Next
Submit
Submit
Press
Enter
14
My Products
*
This field is required.
prev
next
( X )
My Bag
1
My Bag
Back to list
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
Great Product Name
$20
Quantity:
1
Size:
Small
Remove
Edit
ORDER SUMMARY
Total cost
USD
Young Artists Class
You are making a payment today in the amount of $50 for your first two classes. At the beginning of the next month, monthly tuition payments of $100 (4 classes) will take place on the 1st of every month. You may pause or cancel monthly tuition at any time, with 5 days notice prior to the 1st of the month.
$
50.00
+
Edit
Back
1
2
3
4
5
6
7
8
9
1
1
2
3
4
5
6
7
8
9
Quantity
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Previous
Next
Submit
Submit
Press
Enter
Should be Empty:
Question Label
1
of
14
See All
Go Back
Submit
Submit