Welcome to Emily's Music Studio
Register for Lessons and Classes today!
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Student Name (first and last) *

 
Age or Grade in School *

 
Does your Student have any allergies? *

Food, Medication, Indoor/Outdoor, etc.
     
 
Guardian Name (first and last) -- N/A for students 18 or older. *

 
Phone Number *

 
Emergency Contact/Relationship to Student *

 
Emergency Contact Phone *

 
I am registering for...

 
Choose one: *


 
Private Lessons *


 
Group Classes *


 
What are your top 3 best days/times for class? *

 
By clicking Submit, I agree to the policies set forth by Emily's Music Studio, including providing additional registration information due upon first class. *

Emily's Music Studio requires all students have a Credit Card on file regardless of preferred method of payment.  Students will also have a photo release form on file for Studio Promotion purposes.  In the event your student no longer wishes to participate, all confidential information will be purged.
     
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