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Registration

• New Student Enquiry Form
• Registration Form
• Summer Day Registration
• Private Lessons Scheduling
• Chamber Music Scheduling
• Policies
• Health Policies

Registration Form 2022-23

Student's First Name(*)

Please let us know your name.

Student's Last Name(*)

Please let us know your name.

Student's Instrument (or write "NONE")(*)

Please let us know your instrument

Registering for(*)

Private Lessons (write length below)PlayTogether GoGroup Class (write name below)

Choose a class.

Length of Lesson or Name of Group Class

If you chose a Group Class, provide the name here. If you chose Private Lessons, provide the length of the lesson.

Please also fill out the Private Lesson Scheduling Form or the PlayTogether Go Scheduling Form, if registering for either program.

Month/Year of Birth (or write ADULT if over 18)(*)

Enter the student's month and year of birth.

School Grade (2022-23)

Enter your school grade.

School

Enter the name of your school.

Home Address(*)

Enter your home STREET ADDRESS.

Home Address City(*)

Enter your home address CITY.

Home Address State(*)

Enter your home address STATE.

Home Address Zip Code(*)

Enter your home address ZIP CODE.

Primary Parent or Guardian's Name(*)

Please enter the name of the Primary Parent to be contacted.

Relationship to student(*)

Please enter the relationship of the Primary Caregiver to the student.

Primary Contact E-mail(*)

Enter the email address of the Primary Contact.

Primary Contact Cell Phone(*)

Please enter the Primary Contact's cell phone number.

Primary Contact Alternate Phone(*)

Please enter the Primary Contact's alternate phone number.

Secondary Parent/Guardian/Caregiver's Name

Please enter the name of the Secondary Caregiver to be contacted.

Relationship to student

Please enter the relationship of the Secondary Caregiver to the student.

Secondary Contact E-mail

Enter the email address of the Secondary Contact.

Secondary Contact Cell Phone

Please enter the Secondary Contact's cell phone number.

Secondary Contact Phone

Please enter the Secondary Contact's phone number.

I have read and understood the linked Wayland School of Music 2022-23 Policies. My electronic or written signature below indicates my agreement to be bound by these Policies, and my understanding that they apply to both on-site and on-screen (online) lessons.

Type your name to agree(*)

Type your name in order to confirm agreement with policies.