Violin Group Class Registration Form

This Registration for is for Violin Group Class - Ages 9 and up

The parent is responsible for securing a proper violin and accessories for the child before the start of the first class.

Student Name

First Name

Last Name

Student Age and Grade

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

Name and Phone

Please list any prior musical experiences (if any)

If none, please answer "n/a". This answer does not determine your child's enrollment into the class.

Do you have a violin for your child?

please click all that apply

Yes, I have an appropriately sized violin for my child.

No, I do not have a violin.

No, I do not have a violin. Please help me purchase a violin for my child.

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

Questions, Comments, Inquiries

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