Registration

Please complete one form for each child. Be sure to include the complete date of birth so we can find just the right class for your little musician.

Your registration form and first payment will complete enrollment. Please send your payment via ZELLE to: jrstoner@sbcglobal.net. If we are unable to find the perfect spot for your child at this time, we will refund your payment, add your child to the waitlist and contact you just as soon as we have a spot available.

Select Class:

Preferred Day/Time:	(e.g. Tuesdays 09:30)
Preferred Location:

Parent's First Name:
Parent's Last Name:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Email Address:
Home Phone Number:	- -
Work Phone Number:	- -
Cell Phone Number:	- -

Alt. Contact Person:
Alt. Contact Phone:	- -

Child's First Name:
Child's Last Name:
Child's Current Age:	months years
Child's Birthdate:	(MM/DD/YYYY)

Class Materials Format:	CD Digital Download

List any allergies or medical issues of which the teacher should be aware:


How did you hear about us?:

Other:

Question/Comment: