Enroll for Mad About Music - Mad About Music

Mad About Music enrollment form

You can use this form to register up to 4 students. The first step is to tell us who is the students Parent or Guardian. If you are an adult student, put your information here please, and add yourself as a student in section 2.

Step 1 of 2

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Section 1. Parent / Guardian Information
Full Name of Parent or Guardian*
First Last
Address*
Phone*
Email*
Enter Email Confirm Email
How many students are you enrolling?*
Section 2. Student Information
Student 1 Details
Students 1 Full Name*
First Last
Student 1 Age*
Instrument student 1 wishes to learn*
How would you describe student 1's musical ability*
Do you have a preferred day / time? If so, please give details
Student 2 Details
Student 2's Full Name*
First Last
Student 2's Age
Instrument student 2 wishes to learn*
How would you describe student 2's musical ability*
Do you have a preferred day / time? If so, please give details
Student 3 Details
Students 3's Full Name*
First Last
Student 3's Age
Instrument student 3 wants to be taught.*
How would you describe student 3's musical ability*
Do you have a preferred day / time? If so, please give details
Student 4 Details
Students 4's Full Name*
First Last
Student 4's Age
Instrument student 4 wants to be taught.*
How would you describe student 4's musical ability*
Do you have a preferred day / time? If so, please give details