New Member Interest Form
Please complete one form per child.
Child's Name *
Your answer
Gender *
Child's Birthdate *
Your answer
Age *
Your answer
Grade in September 2019 *
Your answer
School Currently Attending *
Your answer
Please name the music teacher recommending your child. *
Your answer
Primary Contact *
Your answer
Cell Phone *
Your answer
Email *
Your answer
Emergency Contact
Your answer
Cell Phone
Your answer
Email
Your answer
Child's Permanent Address
Your answer
City/ State/ Zip Code
Your answer
Orientation Dates *
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