Online Registration Form- Students Under 18 Only
Student Information
New Student
Returning Student
Fall Quarter Winter Quarter Spring Quarter Summer Quarter
First Name and Last Name Date of Birth (Month/Day/Year) School Grade Address
City/State Zip Code
Home Phone
Billing Information/Parent Guardian Information Parent 1 First and Last Name Address
City/State
Zip Home Phone Work Phone Cell Phone Email
Parent 2 First and Last Name Address
Zip
Home Phone Work Phone Cell Phone Email Optional: The following student information is requested by funding sources. Your help will be greatly appreciated. Asian/Pacific Islander Black/African American Caucasian/White Latino/Hispanic Native American Other Perfer not to respond
Private Instruction Instrument 1
Teacher Length Suzuki Traditional
Instrument 2
Classes/Ensembles Pre-College Program Early Childhood Our Time Imagine That! Music Makers 1 Music Makers 2 Explorations in Theory & Composition Explorations I (ages 9-11) Explorations II (ages 11-14) Performance Ensembles Beginning Percussion Chamber Music Ensemble For childrens choir, please choose an option below Children's Choir Allegro Vivace Prelude Show Choir Clarinet Ensemble Master Class Piano Violin Musical Theatre for Teens String Orchestra
Piano Enrichment Class Accompanying Chamber Jazz
