L.E.A.D. Academy Music Lab Registration
Registration
Email address *
Choose a skill *
Required
Student’s Full Name *
Your answer
Student’s Age *
Your answer
Student’s Grade *
Your answer
Name of School *
Your answer
Mother’s Name and Phone Number *
Your answer
Father’s Name and Phone Number *
Your answer
Health or learning issues the instructor should know about (allergies, disabilities, giftedness, etc.) *
Your answer
Briefly state your musical goals for your child and if you would like for him/her to participate in recitals. *
Your answer
Do I have permission to put your child’s photo on the website?
Column 1
Yes
No
Do I have permission to post videos and lesson pictures on social media?
Column 1
Yes
No
Do I have permission to post videos and lesson pictures on social media?
Column 1
Yes
No
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