Registration

1. ALL STUDENTS MUST REGISTER ONLINE, including siblings.
2. Fill out the form below and submit.
3. You will receive a confirmation notice and information about how to submit payment.
4. MATERIALS: Family materials are required for all classes and lesson. Teacher will hand out materials during the first week of class.
5. Class Registration Fees may be paid in the following ways:
Zelle Bank Payment via your bank
Write a check (checks to be made payable to The Early Music Studio)

Select Class:

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)

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


How did you hear about us?:

Other:

Question/Comment: