Registration

To register for classes please complete the form below.

We prefer the use of PAYPAL or Venmo. It is a safe secure method to pay for the class with your debit/credit card. You may use PAYPAL even if you do not have a PAYPAL account.

You will be directed to a payment page after you complete the class and child information below.

1. If you need to write a check, make it payable to:

Community Music Project

check can be given to the teacher during class.

2. If you wish to pay by VEMNO click the link
"Check Payment' and you should see a VENMO QR code in the next window.

Select Class:

Preferred Day/Time:	(e.g. Tuesdays 09:30)
Preferred Location:

Parent's First Name:
Parent's Last Name:
Address Line 1:
Address Line 2:
City:
State/Province:
Zip/Postal Code:
Email Address:
Home Phone Number:	- -
Work Phone Number:	- -
Cell Phone Number:	- -

Alt. Contact Person:
Alt. Contact Phone:	- -

Child's First Name:
Child's Last Name:
Child's Current Age:	months years
Child's Birthdate:	(MM/DD/YYYY)

List any allergies or medical issues of which the teacher should be aware:


How did you hear about us?:

Other:

Question/Comment: