Web Site Registration

  • Student Name:

  • Type of Program
  • years
  • * Are you taking music lessons?
  • * Music styles you prefer - Select all that apply:
  • Schedule

  • * Days and times you are available. The more flexible you are the easier it will be to place you in a band.

  • Monday:
  • Tuesday:
  • Wednesday:
  • Thursday:
  • Friday:
  • Saturday:
  • Sunday:
  • Referrals

  • Join the Band offers a referral credit if you refer a friend and they sign up for a session

  • Contact Information

  • * Parent(s) or Guardian Information (if under 18)

  • Phone
  • E-mail
  • (Parent will always be CC’d: on any email correspondence with a student under 18 years of age)

  • Address
  • Terms and Conditions
  • *