Make Music NOLA - New Student Registration
Please fill out the following application to register you child for violin class at the Broadmoor Arts and Wellness Center or to join our waitlist. We will contact families on our wait list as spots become available.

Make Music NOLA is open to any student who qualifies for free or reduced lunch.

If you cannot attend classes three days a week, please call our office before you register! 504 526 4250.

Student's Name
Your answer
Preferred Program Site
Home Address
Your answer
Phone number of Primary Parent or Guardian
Your answer
Parent's Name
Your answer
Second Contact Number
Your answer
Name of Second Contact
Your answer
E-mail Address
Your answer
Preferred method of communication
What is your child's Birthday
Your answer
What grade will your child be in this fall?
Your answer
Is there anything we should know about your child? Allergies? Medical conditions?
Your answer
I give permission for Make Music NOLA to use images, video, audio, film, or other materials including my child for promotion of the program. I authorize Make Music NOLA to care for my child during the time they are in class or participating in an MMN sponsored trip. I also give permission for MMN to administer and/or obtain medical treatment for my child in the event that I cannot be reached.
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