MAJN Form 2019
Student last name, first name:
Student's date of birth:
Parent/Guardian's name (last, first):
Street Address (street, city, zip code):
Instrument Choice (check all that apply):
Lesson type and length:
Private Lessons - 30 minutes
Private Lessons - 45 minutes
Private Lessons - 60 minutes
Group Lessons - 30 minutes
Group Lessons - 45 minutes
Group Lessons - 60 minutes
Virtual Lesson Special: 4 Lessons during June/July
Abi Hopkins - violin
Garett Crow - drums/piano
Glenn Dantam - piano/drums/saxophone/clarinet/guitar
Hannah Hadley - piano/guitar
Jake Dugan - guitar/ukulele
Logan Purcell - guitar/piano
Matt Hyslop - guitar/ukulele
Matthew Marshall - piano
Meghan Bartsch - piano
Mike Blackwell - guitar
Nolan Winters - guitar/piano/ukulele/bass/voice
Shane Meredith - piano
How did you hear about us?
May we use photos from our class of you or your child in our marketing materials?
Read here: http://www.makeajoyfulnoisestudio.com/studiopolicy
Agreement: I have read, understand, and agree to the terms of the Studio Policy.
I understand that when registering for lessons I am committing to a full Session (13 Lessons) and will be billed accordingly. If it's mid Session I understand I will be prorated the tuition amount for the remainder of the Session.
Credit or Debit Card (a 2% processing fee will be added to tuition)
ACH payment (electronic check)
I give MAJN permission to auto deduct tuition for each Session.
Questions, Comments, or Special Request?
Never submit passwords through Google Forms.
This form was created inside of Make A Joyful Noise.