Harmony School Sign Up Form
Welcome! If you need any help with this form or have any questions, please call or text Jessica at 319-533-0708 or email
When we receive your form, we will reach out to get to know you and better understand your child's needs. We look forward to meeting you!
Student First Name
Student Last Name
Student Date of Birth
Student Street Address (street, city, zip code)
Legal Guardian Name
Legal Guardian Phone Number
Legal Guardian Email Address
Legal Guardian Relationship to Child
Is legal guardian's street address same as child's?
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This form was created inside of Harmony School of Music Inc..