HPH Musicianship Student Registration Form 2026-27
Please complete this form to register your child for the 2026-27 Harmony Project Hudson academic year. 

If you have more than one child enrolling in HPH, please complete a separate registration form for each. 

Musicianship students (typically grades 2-3) will meet from 3-4:30pm on both Tuesdays and Thursdays at Montgomery C. Smith Elementary School. Students enrolled in ASP may also enroll in HPH! 
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Who is completing this form? First and last name. *
Child's First Name *
Child's Last Name *
Child's date of birth *
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Child's grade for the 2026-27 school year *
Will you try and enroll your child in ASP (After School Program) at Montgomery C. Smith? (Students enrolled in ASP may also enroll in HPH!) *
Child's gender *
Required
Child's race *
Required
If "other", please specify
Does your child have any food allergies or medical restrictions? *
Parent or Guardian #1 First Name (the person who is completing this form) *
Parent or Guardian #1 Last Name *
Parent or Guardian #1 Home Address *
Parent or Guardian #1 Cell Phone Number *
Parent or Guardian #1 Email *
Parent or Guardian #2 First Name
Parent or Guardian #2 Last Name
Parent or Guardian #2 Street Address (if different from Parent/Guardian #1)
Parent or Guardian #2 Cell Phone Number
Parent or Guardian #2 Email
Child lives with: *
In the event we cannot reach you, please list at least one emergency contact (name, cell phone number, relationship): *
If someone other than who you have listed as a Parent/Guardian or Emergency Contact is approved to pick up your child, please provide their name and phone number here.
Medical Release - by selecting "I agree" below, you understand that:
1. You will be notified in the case of a medical emergency involving your child. In the event that we cannot reach you, you authorize the calling of a doctor and the providing of necessary medical services in the event your child is injured or becomes ill. If necessary, you authorize your child to be treated by a Certified Emergency Personnel (i.e. EMT, First Responder, and/or Physician).
2. Harmony Project Hudson will not be responsible for the medical expenses incurred, but that such expenses will be your responsibility as the parent/guardian. 
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Child's Primary Care Physician name and phone number. 
 *
General Release - by selecting "I agree" below, you understand that: 
1. Harmony Project Hudson and its staff are not responsible for lost or damaged personal property. 
2. All scheduled events are subject to change. 
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Photos and video that are taken of your child during Harmony Project Hudson lessons, events and performances may be used for purposes of publicity, grant applications and reports by Harmony Project Hudson and its partners/donors/affiliates.
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Does your child need any special accommodations? If yes, please explain. 
Is there anything else you would like us to know? 
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