Family Information
This begins Section 1 of 6.  PLease continue until you have a "thank you" notification.  If you stop before completing all of the forms, your information will not be submitted.  For pricing, see our website. 
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Parent(s) Name *
Street Address *
City *
State *
Zip *
Email Address *
Mom's Phone Number
Would you like to receive texts on this number?
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Dad's Phone Number
Would you like to receive texts on this number?
Clear selection
Emergency Contact:  If your child needs help during the day, please indicate who you want called first and their phone number. *
We need volunteers to sit in a classroom as a monitor.  Monitors sit quietly - some work on their computer, knit, read, etc., but are available if the teacher or students need assistance.  Part of our low prices include the expectation that parents will volunteer in some way.  We ask that you volunteer in one class for at least 4 days per semester.  We also need help with computer work from time to time, so if you're not available during the day, you could volunteer this way as well.  Please indicate if you are able to volunteer or  If you would prefer to pay a $150 non-volunteer fee.
Do you as a parent want to participate in a guitar or strings class? If you do, please note your name and what instrument.  You only have to pay the registration fee!  
#1 Student's Name *
#1 Student's Birthdate *
MM
/
DD
/
YYYY
Does Student #1 have any allergies, learning issues, or anything else that need to be aware of? If no, please answer no. *
What classes do you want to register Student #1 for? (If this is the last student you're registering for, scroll down to section 2, waiver.)
#2 Student's Name
#2 Student's Birthdate
Does Student #2 have any allergies, learning issues, or anything else that need to be aware of? If no, please answer no.
What classes do you want to register Student #2 for? (If this is the last student you're registering for, scroll down to section 2, waiver.)
#3 Student's Name
#3 Student's Birthdate
MM
/
DD
/
YYYY
Does Student #3 have any allergies, learning issues, or anything else that need to be aware of? If no, please answer no.
What classes do you want to register Student #3 for? (If this is the last student you're registering for, scroll down to section 2, waiver.)
#4 Student's Name
#4 Student's Birthdate
Does Student #4 have any allergies, learning issues, or anything else that need to be aware of? If no, please answer no.
What classes do you want to register Student #4 for? (If this is the last student you're registering for, scroll down to section 2, waiver.)
#5 Student's Name
#5 Student's Birthdate
Does Student #5 have any allergies, learning issues, or anything else that need to be aware of? If no, please answer no.
What classes do you want to register Student #5 for? (If this is the last student you're registering for, scroll down to section 2, waiver.)
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