Grace Notes Music Studio Adult Strings Classes Registration

All fields are required unless otherwise indicated.

Student Name:

Please enter the student's name.

Date of Birth: Age:

Please enter the student's birth date - mm/dd/yyyy format.

Please enter the student's age.

Home Phone: Work Phone: Cell Phone:

Please enter 10 digits for you phone number in ###-###-#### format.

You MUST enter at least one phone number.

Mailing Address:

Please enter your mailing address.

Address 2 (Apt #, Suite, etc.): (optional)

City: State: Zip Code:

Please enter your City.

Please enter your State.

Please enter your Zip Code.

Email Address:

Please enter your Email Address

Please select if you are:

New Student: Returning Student:

Please select if you are a New Student or a Returning Student.

Please check which class you are registering for:

Music Theory/Composition I for Adults:

Music Theory/Composition II for Adults:

Beginning Strings for Adults:

Level I Adult Strings Class:

Level II Adult Strings Class:

Level III Adult Strings Class:

Level IV Adult Strings Class:

Please check which class level you are registering for.

Please select the which instrument you are registering for:

Violin Viola Cello Bass Music Composition
Guitar Harp

Please select the which instrument you are registering for.

Please indicate any prior or current string instrument experience:

Please enter student's prior or current string instrument experience.

Prior Teachers:

Please indicate Prior Teachers. Put N/A or NONE in Not applicable.

Please indicate any other musical experience outside of stringed instrument instruction:

Please indicate any other musical experience outside of stringed instrument instruction.

Check here if you are interested in private lessons at a discounted rate: Yes No

Please indicate if you are interested in private lessons at a discounted rate.

Please check here if you wish to order a New Student Package:

Please check here if you wish to order an Instrument Rental Package:

Please let us know how you heard about Grace Notes (optional)

Submission of this enrollment form is commitment to the entire session, no exceptions.

I understand when I submit this form, this indicates that I have read and agreed to all policies in the handbook provided to me, and agree to all terms and conditions outlined in the handbook.