School of Music > Community Music > Programs > Pre-College > Online Registration Form

Online Registration for New and Returning, Pre-College Students

Student StatusNew Student
Returning Student

Quarter

First Name *

Last Name *

School *

Grade *

First Name (P1) *

Last Name (P1) *

Address (P1) *

City (P1) *

State (P1) *

Zip Code (P1) *

Home Phone (P1) *

Work Phone (P1)

Cell Phone (P1)

Email (P1)

First Name (P2)

Last Name (P2)

Address (P2)

City (P2)

State (P2)

Zip Code (P2)

Home Phone (P2)

Work Phone (P2)

Cell Phone (P2)

Email (P2)

Billing First Name *

Billing Last Name *

Billing Address *

Billing City *

Billing State *

Billing Zip Code *

Optional: The following student information is requested by funding sources. Your help will be greatly appreciated.

Instrument 1

Instrument 2

Eurhythmics

Prelude Choir

Reading/Youth Orchestra

Chamber Music Ensemble

Music Theory

Programs

Online Registration for New and Returning, Pre-College Students

Student Information

Parent/Guardian Information

Parent 1

Parent 2

Billing Information

Private Instruction

Classes/Ensembles

Lincoln Park Campus

Holtschneider Performance Center Box Office