Student Enrollment Form
Please take into account that our program is based on your student's interest in music, and it is important that your student has expressed a desire to take music lessons and commit to learning an instrument.

Learning music is a rewarding, challenging endeavor. Please discuss this with your student before moving forward.
Email address *
Contact Information
Your first name: *
Your last name: *
Your phone: *
Preferred method of contact: *
Your relationship to student: *
Student's first name: *
Student's last name: *
Student's preferred pronoun: *
Required
Student's ethnicity: *
Required
Student's date of birth: *
Student's placement: *
If you chose "Living with relative/kinship" or "Other", please tell us more about the relationship of the caregiver to the student.
Student's address: *
Student's city: *
Student's state: *
Student's zip code: *
Student's county: *
Does the student attend an Austin ISD school? *
Next
Never submit passwords through Google Forms.
This form was created inside of Kids in a New Groove. Report Abuse