Ukulele Group Class Registration Form

This Registration form is for Ukulele Group Class, Ages 9 and up

Student Name

First Name

Last Name

Student Age and Grade

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Phone

(###)

###

####

Parent/Guardian Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Do you have your own Ukulele?

Click all that apply

Yes, I have my own Ukulele.

No, I do not have a Ukulele.

No, I do not have a Ukulele. Please help me find an Ukulele suitable for my child.

Please list any prior musical experiences (if any)

Questions, Concerns, Inquiries

Is there anything specific about your child that you would like us to know?

Promotional photographs may be taken during the group class.

Check one

Yes, I do understand that photographs and/or videos will be taken and I give my consent to SJAM to use these photos/videos for promotional purposes

Please DO NOT include my child in photographs

In-person classes

Yes, I want in-person classes.

No, I prefer online classes.

“Music has a power of forming the character, and should therefore be introduced into the education of the young” - Aristotle