Student's Full Name *

First Name

Last Name

Parent or Guardian (If applicable)

First Name

Last Name

Student's Birthday *

MM

DD

YYYY

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Choose the Group Class you would like to register for. *

Chamber Music

Grace Notes On Stage (ages 8-12 on Tuesdays)

Are you interested in information about private lessons? *

Yes

No

Are you interested in renting an instrument? *

Yes

No

I have read the Grace Notes School of Music Private Lesson Handbook and agree to all terms and conditions. *

You must agree to the terms and conditions in order to proceed.

I agree

I agree that by completing this form I am committing to an entire session of study without exceptions: *

You must agree to the terms and conditions in order to proceed.

I agree

How did you hear about us? *

Sign

Flyer

Google/Other search engine

Facebook

Friend

Please click yes if you will give permission to have photographs if your child taken *

We occasionally take pictures of students to keep our website up to date.

Yes

No

Students Full Name *

First Name

Last Name

Parent or Guardian (if applicable)

First Name

Last Name

Cell Phone *

(###)

###

####

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I acknowledge the fact that we are living through an unprecedented world crisis. I agree not to hold liable Grace Notes School of Music, including but not limited to its owners, faculty, and agents, should I or my child contract Covid_19 as a result of our participation in a face to face music education program provided by the Grace Notes School of Music. *

Yes

No

Are you interested in information regarding Private Lessons? *

30 minute lessons are only for children 10 years and younger.

Yes

No

Are you interested in renting an instrument? *

Yes

No

Select the option below if you have read the Grace Notes School of Music Private Lessons Handbook and agree to all terms and conditions *

You must agree in order to proceed.

I agree

I agree that by completing this form, I am committing to an entire semester of study without exceptions: *

You must agree in order to proceed

I agree

Are you okay with Grace Notes School of Music using the likeness of you or your child for our website and promotional material. *

We occasionally take pictures for our website, promotional, and social media.

Yes

No