Welcome to Emily's Music Studio!
Emily's Music Studio offers many wonderful programs to fit your student's needs. Register today!
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Student Name: *

 
Student age/grade: *

 
Does your student have allergies? *

Pets, outdoor/indoor, food, medicine, etc.
 
Parent/Guardian Name -- N/A for students 18 and older. *

 
Contact Phone: *

 
Emergency Contact Phone: *

 
Emergency Contact/Relationship to Student: *

 
I am registering for:

 
Choose one: *


 
Private Lessons *


 
Group Classes *


 
Please send me details for Sing to the Beat Camp 2017!

     
 
What are your top 3 best days and times?

 
Any other comments or information Emily's Music Studio needs to know:

i.e. Accommodation requests, student referrals, or other important details can go here.
 
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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