Group Strings Class Registration Form - YRCS 2019-2020
Welcome to the registration form for Ms. Zoe’s Group Strings Class. Please email Zoe with any questions: zoe.schlussel@gmail.com and we look forward to having your student in class!
Student Name (First and Last) *
Your answer
Student Preferred Name
Your answer
Student Instrument *
Your answer
Student Age and Grade *
Your answer
Parent/Guardian 1 Name (First and Last) *
Your answer
Parent/Guardian 1 Phone Number *
Your answer
Is texting OK at this number? *
Parent/Guardian 1 Email *
Your answer
Parent/Guardian 2 Name (First and Last)
Your answer
Parent/Guardian 2 Phone Number:
Your answer
Is texting OK at this number?
Parent/Guardian 2 Email:
Your answer
Student Primary Home Address *
Your answer
What is the student’s previous experience with music? How long have they played their current stringed instrument? *
Your answer
What other instruments does the student play or have played? *
Your answer
How does the student feel about Group Strings Class? Why are they interested? *
Your answer
Anything else I need to know about your student? Anything else I need to know about how they learn? *
Your answer
Photo and Media Release: By placing your name below you are agreeing to the following: Zoe Schlussel has my permission to use my or my child’s photograph or rehearsal/performance video footage to promote Ms. Zoe’s Group Strings Class and other educational music programs related to Ms. Zoe’s Studio. I understand that these images or videos may be used on Ms. Zoe’s website, Facebook, Instagram, and flyers for similar programs. (The student’s name or any other identifying information will not be used without additional parental consent.) *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy