Heart Beats Music School

Group Class Registration Form Spring/Summer 2022

Returning Students

All class start dates are subject to the minimum enrollment of 3 students. Upon registering you will be contacted prior to the start date to confirm, as soon as minimum enrollment has been met.

What class are you registering for?

Returning Student?

Student Name

First Name

Last Name

Parent/Guardian

First Name

Last Name

Parent/Guardian

Best number to contact

(###)

###

####

Parent/Guardian Email

School newsletters and emails from teacher will be sent here

If someone other than you be bringing student(s) to lessons, such as a babysitter or grandparent, please specify. Include relationship and phone number, if desired.

Promo Code

Payment information

If you would like to provide a new payment method, a form will be provided at your first class.

Please charge the card or account I have on file.

I would like to submit a new payment method.

Payment options

View our tuition and fees page for the cost of each class.

I would like to pay the full semester tuition in one payment

I would like to pay in 4 monthly installments