Register for Music Lens 2019!
Welcome to Music Lens - we're glad you're here! Your child is invited to join us for a magical week of possibility, discovery, and excitement through music.

Music Lens is for students who will be entering second through fourth grade in the fall of 2019. No previous musical experience is expected. The program is completely free, and acceptance is decided on a first-come-first-served basis. Please contact us at musiclensboston@gmail.com if you have any questions.

Our 2019 program runs from 8:30 to 3:30 on August 12-16 at Clarendon Hill Presbyterian Church, 155 Powder House Blvd, Somerville, MA.
Our registration period closes July 5. We look forward to meeting you and your children!
Music Lens starts at 8:30AM, but an early drop-off period is be available. If the early drop-off period would be helpful to your family, please indicate at what time you would like to drop your child off each day.
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How did you find out about Music Lens? *
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Participant information
Full legal name *
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Preferred name/nickname
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Grade (in the fall of 2019) *
Preferred pronoun *
Age (as of August 12, 2019) *
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Home address *
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School *
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T-shirt size *
Please list allergies and dietary restrictions.
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Please list any medical conditions that would be useful for us to know about.
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We serve fruit as a morning snack and Red Apple Lunches (www.redapplelunch.com). Lots of allergen-free and restricted-diet options are available. Please let us know if you have any concerns.
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Parent/guardian #1
Name *
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Preferred pronoun *
Email address *
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Home address *
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Cell phone number *
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Home phone number
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Work phone number
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Parent/guardian #2
Name
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Preferred pronoun
Email address
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Home address
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Cell phone number
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Home phone number
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Work phone number
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Emergency Contact #1
Name *
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Preferred pronoun *
Relationship to participant *
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Email address *
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Cell phone *
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Home phone
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Work phone
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Emergency Contact #2
Name *
Your answer
Preferred pronoun *
Relationship to participant *
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Email address *
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Cell phone number *
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Home phone number
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Work phone number
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Demographic background
Many of the organizations that support and help to make Music Lens possible ask that we report to them with some basic demographic information about the families that we serve. The questions below will allow us to provide more information to our donors in our grant applications and grant reports. The information shared will be completely anonymous. Thank you very much for your help and cooperation.
For funding purposes, please tell us what you consider your child’s ethnic background to be.
For funding purposes, please specify your annual estimated household income.
Thank you for your interest in Music Lens! We will be in touch via email within two weeks to confirm your registration.
Questions? Don't hesitate to contact us at musiclensboston@gmail.com!
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