MSSC Fall Registration for Returning Students
If you are registering more than one student please fill in this form separately for each individual student.
Student's last name
Student's first name
Parent/Guardian full name/s
Student's Date of Birth
What email address would you like us to use when contacting you?
Is there an additional email where you would like to receive MSSC information?
Phone number (occasional text messages will be sent to this number in regard to weather cancellations and important MSSC information)
Race/Ethnicity (optional - we appreciate your answer)
Native American/Alaskan Native
Hawaiian or Pacific Islander
African or African American
Name of Instructor
Preferred lesson day
Preferred lesson time
If Suzuki, what is the student's last polished piece?
Chamber Music Program
Check here if student is registering for MSSC Chamber Music Program. (We will contact you to schedule a placement audition)
Preferred Payment Option
Full year tuition
2 Installment option (Due September & February)
9 Installment option (Due monthly September-May)
Check below if you plan to apply for Tuition Assistance
Yes, I plan to apply for tuition assistance for this student.
Please be sure to read the student policy attached above and check below to accept.
I have read the Student policy. I undertand that by completing this registration form and submitting the $65 lesson deposit I am agreeing to all terms outlined in the MSSC Student Policy
A copy of your responses will be emailed to the address you provided.
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