Heart and Soul Music Studio - 2018 Summer Program Registration*
Heart and Soul Music Studio is excited to offer summer camp and private lessons for young musicians! Geared towards the musically minded, this is a great way to learn new skills, meet new friends - and be musical!
Email address *
Student's Name *
Your answer
Parent's Name *
Your answer
Address (include City and Zip Code) *
Your answer
Home Phone
Your answer
Cell Phone Parent *
In case of emergency or need for contact at last minute, text may be used to contact you.
Your answer
Cell Phone Student
Your answer
Can you receive texts? *
Parents Email
Your answer
Student Email
Your answer
How often do you check your email? *
Your answer
Student's Age *
Your answer
Please check the Summer 2018 Programs you want to enroll in (*Prices and requirements vary) *
Required
Does your child have any special needs that would need special consideration or helpful to know when working with your child (autism, ADHD, dyslexic, learning needs, etc.) or psychological or physiological conditions that would need special consideration? (This info helps us set students up for success) *
Your answer
Does your child have any food allergies? If so, please specify. (Snacks are provided at some events) *
Your answer
How will you be paying? (You will be invoiced from Heart and Soul Music Studio) *
Link to Summer Studio Policy is available at the bottom of this form *
Required
Thank you! Before submitting this form, please click on the following . . .
To view the 2018 Summer Studio Policy go to: https://goo.gl/zH3oYm
To print and sign the enrollment agreement go to: https://goo.gl/4zuvZ1
A copy of your responses will be emailed to the address you provided.
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