First Name:
Last Name:
Date of Birth:
School:
Parent's Name:
Student's Street Address:
City:   State:  
Zip:
Email:
Home Phone:
Work Phone:
Cell Phone:


Please select which program you wish to sign up for:
Program with asterik does not include instrument rental, books or music

ANNUAL REGISTRATION FEE:
Non-refundable Registration Fee (for first student in family) $ 35
Non-refundable Registration Fee (for second student in family) $ 15

(NOTE: Registration fee is waived for third and subsequent members of the
same immediate family.)

 
Please tell us your desired instrument or class:
Please tell us how you heard about us: