Make Music NOLA - New Student Registration
Please fill out the following application to register for Make Music NOLA. 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! 504 266 6091.

Registration for 2018/19 is currently on a wait list basis only:

Broadmoor Arts and Wellness Center, 3900 General Taylor St (Broadmoor)
Monday & Wednesday 5:30-6:30pm, Saturday 12:30-2:30pm at Harmony Oaks

NORC Gernon Brown Center, 1001 Harrison Ave (City Park)
Monday & Wednesday 5:30-6:30pm, Saturday 10am-12pm at Bell

Harmony Oaks Community Center, 2514 Washington Ave (Central City)
Tuesday & Thursday 5:30-6:30pm, Saturday 12:30-2:30pm - ADVANCED STUDENTS ONLY

Bell Artspace Campus - Section A,1001 N Johnson St (Treme)
Monday & Wednesday 5:30-6:30pm, Saturday 10am-12pm

Bell Artspace Campus - Section B, 1001 N Johnson St (Treme)
Tuesday & Thursday 5:30-6:30pm, Saturday 10am-12pm - ADVANCED STUDENTS ONLY

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
When is your child's birthday?
Your answer
What grade is your child in currently?
Your answer
What schools does your child attend?
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.
Never submit passwords through Google Forms.
This form was created inside of Make Music NOLA. Report Abuse - Terms of Service