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ONLINE REGISTRATION FORM
 

 
 
   
 
  * = required fields
 
   
 
Student's Name*:
 
Date of Birth*:    
Parent or Guardian*:    
(for students under 18)      
Occupation:    
       
       
Street Address*:    
City*: State*: Zip*:
Email*:    
Home Phone*: Work*: Cell*:
       
       
Select Lesson Type*: Individual Instrument*: Length*:
   
Preferred Instructor:
  Group Class
Class or Camp Name*:
     
How did you hear about New Mozart School of Music?*

If "others", please specify:

   
Start Date:
Student's Music Background:

Day/Time Preferences:
For the Harmony Road, indicate 2nd & 3rd class choiches
Unavailable Day/Times:
Any Special Requests:
 

ATTN NEW PRIVATE STUDENTS: Once you complete this form, you will be taken to a payment page. Your online registration form will not be processed without a payment.

ATTN RETURNING PRIVATE STUDENTS: Your tuition payment will be scheduled on the account on file. You do not need to fill out the payment page. If your account information has changed, please call or email us after submitting this form.

* By submitting this form, I agree to the terms & policies of the New Mozart School of Music.

Click here to read the Private Lessons Policies.
Click here to read the Harmony Road & Kindermusik Policies.
Click here to read the Summer Programs Policies.

 
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