Summer 2021 Studio Class Registration Form

Any field with * in the title is required

Number of Children

1

2

3

Today's Date

Student #1

Student First Name

Student Last Name

Student Grade for 2021-2022 School Year

Student School Attending

Student Gender(s)

Student Date of Birth

Student #2

Student First Name

Student Last Name 1

Student Grade for 2021-2022 School Year

Student School Attending

Student Gender(s)

Student Date of Birth

Student #3

Student First Name

Student Last Name 1

Student Grade for 2021-2022 School Year

Student School Attending

Student Gender(s)

Student Date of Birth

Parent/Guardian 1 First Name(s)

Parent/Guardian 1 Last Name(s)

Parent/Guardian 2 First Name(s)

Parent/Guardian 2 Last Name(s)

Phone Number

Email

How did you hear about us?

Address with City, State & ZIP

What can you tell us about your child that would help your instructor best serve your child's needs?

Do you plan to apply for financial assisstance?

Yes

No

Select your class or camp

Intro to Percussion - $133

Intro to Violin - $97

Jr. Choir - Free

Payment is due at registration. Please select your payment method.

I would prefer to pay by mail in check

I would prefer to pay by credit/debit

Please make check payable to Allegro School of Music and Select your delivery method

Delivery Method

I will mail my check to Allegro School of Music

I will contact Allegro School of Music at 301-3888 or lessons@allegroGR.org to arrange a delivery time.

I agree to the Winter/Spring Session 2021/2022 Policies & Procedures *View Form

Have you been nominated for a scholarship by your music teacher?

Yes

No

Can we add you to our Mail Chimp list so you can receive updates on our programs?

Yes

No

Opening Payment Screen

Thank-you for submitting your registration!

You will receive an email confirmation from our office soon. Your registration will be confirmed once we have received your payment. Please feel free to
contact us at 301-3888 or lessons@allegroGR.org at any time.

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Thank-you for submitting your registration!

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You will receive an email confirmation from our office soon. Your registration will be confirmed once we have received your payment. Please feel free to
contact us at 301-3888 or lessons@allegroGR.org at any time.

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Summer 2021 Studio Class Registration Form

Student #1

Student #2

Student #3

Opening Payment Screen

Thank-you for submitting your registration!

Thank-you for submitting your registration!

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