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 answer
Your last name: *
Your answer
Your phone: *
Your answer
Student's first name: *
Your answer
Student's last name: *
Your answer
Student's gender: *
Your answer
Student's ethnicity: *
Your answer
Student's date of birth: *
Your answer
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.
Your answer
Student's address: *
Your answer
Student's city: *
Your answer
Student's state: *
Your answer
Student's zip code: *
Your answer
Student's county: *
Your answer
Student's school: *
Your answer
Student's grade: *
Your answer
Is this an Austin ISD school? *
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