2011-2012
CLASS REGISTRATION FORM
September, 2011 - June, 2012
The Music School
Presbyterian Church of Sunnyvale
728 W Fremont Ave
Sunnyvale, CA 94087

Personal Information
Red-highlighted fields are required

* If you are requesting general information or want to contact the office, please email or call 408-739-9248.
Otherwise, proceed with this registration by checking the button below. Thank you.

Proceed with Fall 2011 Registration

* Student's First name

* Student's Last Name

* Sex

* Birthday
(mm/dd/yyyy)

* School

* Grade
(Fall 2011)

* First time at
The Music School?

*

Has anyone in your family
ever attended The Music School?

* Parent's First name

* Parent's Last Name

* Email Address

* Please retype email

* Street Address

* City

* ZIP

* Home Phone Number

Work Phone Number

Cell Phone

* Name of Emergency Contact

* Emergency Phone Number

CLASS REGISTRATION FEE
(select one)

1st family enrollment, $30.00

2nd family enrollment, $25.00

3rd family enrollment, $20.00

List allergies of student

* Do you also want to schedule
private music lessons?

YES

NO

How did you hear about
The Music School?

* I have read and
accept the registration
information terms
and conditions.

* Indicates Response Required


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Personal Information Red-highlighted fields are required

Personal Information
Red-highlighted fields are required